Search › Illinois › 207Q00000X
Tina Haller-Wade, D.O
NPI 1235175498 · on the registry since 2006
Practice
- Address
- 1200 W State St
Rockford, IL 61102 - Phone
- (815) 490-1600
- Organisation at this address
- Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 173
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois