Provider Demographics
NPI:1942368154
Name:HAMM, JOANN FRANCES (OD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:FRANCES
Last Name:HAMM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N ARLINGTON HEIGHTS RD STE 1504
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4827
Mailing Address - Country:US
Mailing Address - Phone:847-255-9922
Mailing Address - Fax:847-255-8699
Practice Address - Street 1:1500 N ARLINGTON HEIGHTS RD STE 1504 SUITE 1504
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4827
Practice Address - Country:US
Practice Address - Phone:847-255-9922
Practice Address - Fax:847-255-8699
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL931770Medicare ID - Type Unspecified