Bryan Daniel Haughom MD

NPI 1275828436 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1275828436
Gender Male
Enumeration Date 06/16/2011
Last Updated 06/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
600 S PAULINA ST
527 ACFAC
CHICAGO IL, 60612-3806, US
Phone (312) 942-5495
Fax
Business Location
700 W VAN BUREN ST
APARTMENT 1201
CHICAGO IL, 60607-3617, US
Phone (541) 913-6186
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 125060238
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According to our database, Bryan Daniel Haughom MD NPI is 1275828436, taxonomy code is 207X00000X and license number is 125060238, license state is located at Illinois. Bryan Daniel Haughom MD physically located at 600 S Paulina St, Chicago IL, 60612-3806. NPI Number Bryan Daniel Haughom MD has the Individual type.

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1275828436 NPI number is provided on an as is basis without warranty of any kind. 1275828436 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Daniel Haughom MD are for informational purposes only.