Provider Demographics
NPI:1255751251
Name:JOANN F. HAMM, O.D., P.C.
Entity type:Organization
Organization Name:JOANN F. HAMM, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:847-255-9922
Mailing Address - Street 1:1504 N. ARLINGTON HEIGHTS RD.
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-255-9922
Mailing Address - Fax:847-255-8699
Practice Address - Street 1:1504 N. ARLINGTON HEIGHTS RD.
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-255-9922
Practice Address - Fax:847-255-8699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-007257152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty