Provider Demographics
NPI:1063167526
Name:HOMMOWUN, JAMES MICHAEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:HOMMOWUN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:256 COLONY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2115
Mailing Address - Country:US
Mailing Address - Phone:630-894-0408
Mailing Address - Fax:
Practice Address - Street 1:1260 IROQUOIS AVE STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8548
Practice Address - Country:US
Practice Address - Phone:331-229-3123
Practice Address - Fax:331-226-0780
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist