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
Phone: (708) 957-7468
Fax: (708) 957-7471
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861699530 | NPPES |
| Other | 12140986 | CAQH PROVIDER ID | |
| Other | 036-117880 | CAQH PROVIDER ID |
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