Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tina M Haller-Wade, DO

Individual provider Family Medicine Physician · NPI 1235175498

Dr. Tina M Haller-Wade, DO is a Family Medicine Physician in Rockford, Illinois. Licensed in Illinois and Michigan. Registered with an NPI since 2006.

Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036121323 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101016834 (MI)

Record details

NPI number1235175498
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESNovember 30, 2016

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