Provider Demographics
NPI:1134548332
Name:BUFFY CRAMER-HAMMANN PC
Entity type:Organization
Organization Name:BUFFY CRAMER-HAMMANN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BUFFY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CRAMER-HAMMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-841-7658
Mailing Address - Street 1:333 N RANDALL RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-1573
Mailing Address - Country:US
Mailing Address - Phone:630-464-5824
Mailing Address - Fax:847-628-9567
Practice Address - Street 1:333 N RANDALL RD
Practice Address - Street 2:SUITE 11
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-1573
Practice Address - Country:US
Practice Address - Phone:630-464-5824
Practice Address - Fax:847-628-9567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006448103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty