SearchIllinois101YM0800X

Ethan Hallberg

NPI 1477170389 · on the registry since 2020

Practice

Address
1630 Plum St
Aurora, IL 60506
Phone
(630) 966-4475
Organisation at this address
Association For Individual Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2020-06-26

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