Jericho Hallare
Jericho Hallare is a Surgery Physician in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
2160 S 1st Ave Bldg 105 Ste 2840AMaywood, IL 60153
Phone: (888) 584-7888
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 125081474 (IL) |
|---|
Record details
| NPI number | 1992407993 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2023 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 2160 S. 1st. Avenue Bldg. 105, Suite 2840a, Maywood, IL 60153 |
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