Provider Demographics
NPI:1801277736
Name:HAMMER, KARISSA C (MD)
Entity type:Individual
Prefix:
First Name:KARISSA
Middle Name:C
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 117
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-288-6420
Mailing Address - Fax:312-288-6421
Practice Address - Street 1:680 N LAKE SHORE DR
Practice Address - Street 2:SUITE 117
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-288-6420
Practice Address - Fax:312-288-6421
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125067366207V00000X
MA278746207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology