Provider Demographics
NPI:1669713277
Name:HAMMOND, KRISTIAN THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTIAN
Middle Name:THOMAS
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5251 157TH
Mailing Address - Street 2:#5
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-5403
Mailing Address - Country:US
Mailing Address - Phone:708-369-5145
Mailing Address - Fax:
Practice Address - Street 1:5251 157TH
Practice Address - Street 2:#5
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-5403
Practice Address - Country:US
Practice Address - Phone:708-369-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor