SearchIllinois1223E0200X

Michael Hallam, DMD MS

NPI 1972658037 · on the registry since 2007

Practice

Address
334 W Main St
Decatur, IL 62522
Phone
(217) 428-0003
Fax
(217) 428-0022
Organisation at this address
Jurgens & Kneezel Ltd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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