Provider Demographics
NPI:1306658562
Name:HAMMERS, NICHOLAS C
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:C
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 1:2151 SHEPARD RD
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-6414
Mailing Address - Country:US
Mailing Address - Phone:217-698-8153
Mailing Address - Fax:
Practice Address - Street 1:2151 SHEPARD RD
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-6414
Practice Address - Country:US
Practice Address - Phone:309-455-6108
Practice Address - Fax:217-698-8153
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2965237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist