Hannam, Ami Talati

Hannam, Ami Talati is an individual health care provider with primary practice located at 10733 165Th St , Orland Park IL 60467-8713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Hannam, Ami Talati can be contacted via phone (708) 957-7468.

Contact Information

Primary practice address
10733 165Th St Orland Park IL 60467-8713
Fax: (708) 957-7471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-117880 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036-117880 Illinois

Profile Details

NPI number 1861699530
LBN Legal business name Hannam, Ami Talati
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Dec 9th, 2021 - about 3 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 1861699530 NPPES
Other 12140986 CAQH PROVIDER ID
Other 036-117880 CAQH PROVIDER ID

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