person
Jonathan Haller, DDS
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1609524792

Jonathan Haller is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Jonathan Haller practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Jonathan Haller is 1609524792 and holds a License No. (Illinois).

The current practice location address for Jonathan Haller is 801 S Paulina St Rm 458, Chicago, IL and can be reached out via phone at 312-413-4467.

Location: 801 S Paulina St Rm 458, Chicago, IL, 60612-7210
person
Provider Profile Details
NPI Number
1609524792
Provider Name
Jonathan Haller
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
801 S Paulina St Rm 458, Chicago, IL, 60612-7210
Phone Number
312-413-4467
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 S Paulina St Rm 458
City
State
Zip
60612-7210
Phone Number
312-413-4467
Fax Number
person
Provider Business Mailing Address Details
Address
801 S Paulina St Rm 458
City
State
Zip
60612-7210
Phone Number
312-413-4467
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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