Provider Demographics
NPI:1972667459
Name:HAMMERS, TIM A
Entity Type:Individual
Prefix:MR
First Name:TIM
Middle Name:A
Last Name:HAMMERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 WASHINGTON ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5153
Mailing Address - Country:US
Mailing Address - Phone:847-336-0355
Mailing Address - Fax:847-336-0373
Practice Address - Street 1:1702 WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-5153
Practice Address - Country:US
Practice Address - Phone:847-336-0355
Practice Address - Fax:847-336-0373
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2614237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist