| Sam R. Hamburg, Ph.d., P.c. | |
|
8 S Michigan Ave Ste 1507 Chicago IL 60603-3364 | |
| (312) 485-0161 | |
| Not Available |
| Full Name | Sam R. Hamburg, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 S Michigan Ave Ste 1507, Chicago, Illinois |
| Authorized Official Name and Position | Samuel Ralph Hamburg (PRESIDENT) |
| Authorized Official Contact | 3124850161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam R. Hamburg, Ph.d., P.c. 8 S Michigan Ave Ste 1507 Chicago IL 60603-3364 Ph: (312) 485-0161 | Sam R. Hamburg, Ph.d., P.c. 8 S Michigan Ave Ste 1507 Chicago IL 60603-3364 Ph: (312) 485-0161 |
| NPI Number | 1063157865 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Medicare PECOS PAC ID | 8729445085 |
|---|---|
| Medicare Enrollment ID | O20230601002503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063157865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samuel R Hamburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164538179 PECOS PAC ID: 6901263268 Enrollment ID: I20230601002525 |
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