Provider Demographics
NPI:1558498626
Name:HAMMAR, BETH LAUREN (MOT OTRL)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LAUREN
Last Name:HAMMAR
Suffix:
Gender:F
Credentials:MOT OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2547 PLAINFIELD NAPERVILLE RD STE 152
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8701
Mailing Address - Country:US
Mailing Address - Phone:800-974-4378
Mailing Address - Fax:630-515-1536
Practice Address - Street 1:2803 BUTTERFIELD RD
Practice Address - Street 2:STE 350
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1177
Practice Address - Country:US
Practice Address - Phone:630-572-6301
Practice Address - Fax:630-572-6314
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056007090225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist