EWA V. HAMPSTON MD SC
NPI 1275766511
Family Medicine in Palos Heights, IL

Active since September 03, 2009CLIA 14D2175138 · Waiver
12130 S HARLEM AVE, SUITE B, PALOS HEIGHTS, IL 60463(708) 448-5500(708) 448-5501 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 14D2175138
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-17-2027

About EWA V. HAMPSTON MD SC

This page provides the complete NPI Profile along with additional information for Ewa V. Hampston Md Sc, a primary care provider established in Palos Heights, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1275766511 assigned on September 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 336071862 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ewa V Hampston M.d. (Physician)

NPI
1275766511 Verify this NPI
Provider Name
EWA V. HAMPSTON MD SC
Entity Type
Organization
Location Address
12130 S HARLEM AVE SUITE B PALOS HEIGHTS, IL 60463
Location Phone
(708) 448-5500
Location Fax
(708) 448-5501
Mailing Address
12130 S HARLEM AVE SUITE B PALOS HEIGHTS, IL 60463
Mailing Phone
(708) 448-5500
Mailing Fax
(708) 448-5501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2009
Last Update Date
09-03-2009
Code Navigator

A primary care provider (PCP) like Ewa V. Hampston Md Sc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
336071862
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. EWA V HAMPSTON M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(708) 448-5500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2175138
Facility Type
Physician Office
Certificate Effective Date
November 18, 2025
Certificate Expiration Date
November 17, 2027
Laboratory Director
EWA V. HAMPSTON M D
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ewa V. Hampston Md Sc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EWA V. HAMPSTON MD SC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
12130 S HARLEM AVE, SUITE B
PALOS HEIGHTS, IL 60463
Dentist
12130 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Dentist
12130 S HARLEM AVE
PALOS HEIGHTS, IL 60463
Internal Medicine (Geriatric Medicine)
12130 S HARLEM AVE, STE B
PALOS HEIGHTS, IL 60463
Internal Medicine (Geriatric Medicine)
12130 S HARLEM AVE, STE B
PALOS HEIGHTS, IL 60463

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275766511, enumerated as an "organization" on September 03, 2009.

The provider is located at 12130 S HARLEM AVE SUITE B PALOS HEIGHTS, IL 60463 and the phone number is (708) 448-5500.

Family Medicine with taxonomy code 207Q00000X.