# DR. DEGAULLE G. HAILE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881782506
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 036110330 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01072506A | IN | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 02/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000984538 | ANTHEM PIN | IN |
| 05 | — | 036110330 | — | IL |
| 05 | — | 201176670 | — | IN |