Hambrick, Ernestine

Hambrick, Ernestine is an individual health care provider with primary practice located at 1340 S Damen Ave Suite 200, Chicago IL 60608-1169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Hambrick, Ernestine can be contacted via phone (312) 997-7200.

Contact Information

Primary practice address
1340 S Damen Ave Suite 200 Chicago IL 60608-1169
Phone: (312) 997-7200
Fax: (312) 997-7250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036.042220 Illinois

Profile Details

NPI number 1073743209
LBN Legal business name Hambrick, Ernestine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2009
Last updated Jul 22nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073743209 NPPES
Illinois MEDICAID 036.042220

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