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Individual
ROGER HAAB
Active
Individual
ROGER HAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-079768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008454
HEALTH ALLIANCE
IL
05
—
036079768
—
IL
Enumeration date
08/05/2006
Last updated
08/03/2010
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