Jericho Hallare

NPI #1992407993 in Maywood, Illinois

Provider Information

NPI Number: 1992407993
Entity Type: Individual
Name: Jericho Hallare
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: Mar 21, 2023
Last Updated: May 1, 2023

Practice Location

Address: 2160 S. 1ST. AVENUE BLDG. 105
Address 2: SUITE 2840A
City: Maywood
State: Illinois
ZIP Code: 60153
Phone: (888) 584-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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