Provider Demographics
NPI:1518433242
Name:HAMRICK, BRANDI ANN (DC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:ANN
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3054 E REED RD
Mailing Address - Street 2:
Mailing Address - City:MAZON
Mailing Address - State:IL
Mailing Address - Zip Code:60444-6219
Mailing Address - Country:US
Mailing Address - Phone:815-685-3939
Mailing Address - Fax:
Practice Address - Street 1:495 E 1ST ST
Practice Address - Street 2:
Practice Address - City:COAL CITY
Practice Address - State:IL
Practice Address - Zip Code:60416-1633
Practice Address - Country:US
Practice Address - Phone:815-634-3750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-20
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor