Individual
BRIDGET MARIE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6434 W NORTH AVE, CHICAGO, IL 60707-4030
(773) 836-3000
Mailing address
6434 W NORTH AVE, CHICAGO, IL 60707
(773) 836-3000
(773) 836-5987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036157305
IL
207Q00000X
Family Medicine Physician
125.071794
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
06/26/2023
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