Provider Demographics
NPI:1558362335
Name:HAMPTON, ALFREDA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFREDA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1768
Mailing Address - Country:US
Mailing Address - Phone:312-842-9900
Mailing Address - Fax:312-842-9905
Practice Address - Street 1:1933 S STATE ST
Practice Address - Street 2:SUITE C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1768
Practice Address - Country:US
Practice Address - Phone:312-842-9900
Practice Address - Fax:312-842-9905
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology