Provider Demographics
NPI:1396869400
Name:HAMMELMANN, CHERYL M (PHARMD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:M
Last Name:HAMMELMANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5308 N ORIOLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1730
Mailing Address - Country:US
Mailing Address - Phone:312-279-8872
Mailing Address - Fax:312-279-8865
Practice Address - Street 1:1 N HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-2176
Practice Address - Country:US
Practice Address - Phone:312-279-8872
Practice Address - Fax:312-279-8865
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist