Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Herliani Dwi Putri Halim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790470888

Herliani Dwi Putri Halim, MD is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1233 Chicago Ave Apt 11
Evanston, IL 60202-1364
Phone: (510) 542-7368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790470888
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2023
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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