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1649807488
COLLEEN HALLER
CHICAGO, IL
NPI
1649807488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
COLLEEN HALLER DO
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
COLLEEN HALLER DO
840 S WOOD ST RM 1403
CHICAGO, IL 60612-4325
Phone number: 312-996-6043
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