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Organization
EFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
Active
Organization
EFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HUNT HALLER M.D. (MEMBER)
(217) 342-3337
Entity
Organization
Contact information
Practice address
912 N HENRIETTA ST, EFFINGHAM, IL 62401
(217) 342-3337
(217) 347-3328
Mailing address
PO BOX 784, EFFINGHAM, IL 62401-0784
(217) 342-3337
(217) 347-3328
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371326540002
—
IL
Enumeration date
12/01/2014
Last updated
11/08/2023
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