Hampton, Tony Anthony

Hampton, Tony Anthony is an individual health care provider with primary practice located at 9831 S Western Ave , Chicago IL 60643-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hampton, Tony Anthony can be contacted via phone (773) 445-3500.

Contact Information

Primary practice address
9831 S Western Ave Chicago IL 60643-1740
Phone: (773) 445-3500
Fax: (773) 445-1931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036096053 Illinois

Profile Details

NPI number 1154455210
LBN Legal business name Hampton, Tony Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Apr 22nd, 2022 - about 4 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 1154455210 NPPES
Illinois MEDICAID 036096053

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