Jericho Hallare

Surgery Physician · Maywood, IL

Individual Active NPI

NPI number 1992407993

Practice location

2160 S. 1st. Avenue Bldg. 105
Suite 2840a
Maywood, IL 60153
Phone
(888) 584-7888

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NPI record

NPI
1992407993
Entity type
Individual (Type 1)
Enumeration date
March 21, 2023
Last updated
May 1, 2023
Certified
May 1, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 125081474 IL

About Jericho Hallare

Jericho Hallare is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2160 S. 1st. Avenue Bldg. 105, Suite 2840a, Maywood, IL 60153. The NPI number 1992407993 was assigned on March 21, 2023 and the record was last updated on May 1, 2023.

Jericho Hallare lists a license in the registry: #125081474 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jericho Hallare?

The NPI number is 1992407993.

What is the phone number of Jericho Hallare?

The phone number listed for the practice location is (888) 584-7888.

Where is Jericho Hallare located?

2160 S. 1st. Avenue Bldg. 105, Suite 2840a, Maywood, IL 60153.

What is the taxonomy code for Jericho Hallare?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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