Ewa V. Hampston Md Sc | |
12130 S Harlem Ave Suite B Palos Heights IL 60463-1458 | |
(708) 448-5500 | |
(708) 448-5501 |
Full Name | Ewa V. Hampston Md Sc |
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Speciality | Family Medicine |
Location | 12130 S Harlem Ave, Palos Heights, Illinois |
Authorized Official Name and Position | Ewa V Hampston (PHYSICIAN) |
Authorized Official Contact | 7084485500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ewa V. Hampston Md Sc 12130 S Harlem Ave Suite B Palos Heights IL 60463-1458 Ph: (708) 448-5500 | Ewa V. Hampston Md Sc 12130 S Harlem Ave Suite B Palos Heights IL 60463-1458 Ph: (708) 448-5500 |
NPI Number | 1275766511 |
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Provider Enumeration Date | 09/03/2009 |
Last Update Date | 09/03/2009 |
Medicare PECOS PAC ID | 8820144892 |
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Medicare Enrollment ID | O20090916000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275766511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 336071862 (Illinois) | Primary |
Provider Name | Ewa V Hampston |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770694200 PECOS PAC ID: 3274594569 Enrollment ID: I20041020000691 |
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Chicago Health Colleagues, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5242 Fax: 708-923-5035 |