Provider Demographics
NPI:1861185522
Name:HAMPTON, JAMES MACAUTHOR JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MACAUTHOR
Last Name:HAMPTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W220 22ND ST STE 250
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4462
Mailing Address - Country:US
Mailing Address - Phone:708-948-3158
Mailing Address - Fax:
Practice Address - Street 1:17W220 22ND ST STE 250
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4462
Practice Address - Country:US
Practice Address - Phone:708-948-3158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILH51345375358172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver