Individual
JOSHUA ROBERT HABERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.033863
IL
Other
Enumeration date
04/11/2022
Last updated
08/28/2022
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