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Search › Illinois › 208600000X

Jericho Hallare

NPI 1992407993 · on the registry since 2023

Practice

Address
2160 S. 1st. Avenue Bldg. 105
Suite 2840a
Maywood, IL 60153
Phone
(888) 584-7888
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,186

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-01

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