Provider Demographics
NPI:1821012873
Name:CRAMER-HAMMANN, BUFFY JEAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:BUFFY
Middle Name:JEAN
Last Name:CRAMER-HAMMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 ANNANDALE DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-6534
Mailing Address - Country:US
Mailing Address - Phone:847-695-8023
Mailing Address - Fax:
Practice Address - Street 1:608 S WASHINGTON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6663
Practice Address - Country:US
Practice Address - Phone:630-305-3020
Practice Address - Fax:630-305-3660
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006448103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK38239Medicare PIN