Homman, Tammy J

Homman, Tammy J is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Homman, Tammy J can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036108049 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036108049 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-108049 Illinois

Profile Details

NPI number 1558337956
LBN Legal business name Homman, Tammy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Nov 1st, 2023 - 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 1558337956 NPPES
Illinois MEDICAID 0361008049

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