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1841454857
TIMOTHY PHILIP HALT
CHICAGO, IL
NPI
1841454857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036124084)
Enumeration Date
2008-07-18
Last Update Date
2014-04-04
Business Address
Dr. TIMOTHY PHILIP HALT D.O.
1634 W POLK ST STATION A
CHICAGO, IL 60612-4352
Phone number: 312-423-4200
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Mailing Address
Dr. TIMOTHY PHILIP HALT D.O.
1634 W POLK ST STATION A
CHICAGO, IL 60612-4352
Phone number: 312-423-4200
Copy
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