Organization
EFFINGHAM OBSTETRICS & GYNECOLOGY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY H HALLER MD (PRESIDENT)
(217) 342-3337
Entity
Organization
Contact information
Practice address
912 N HENRIETTA ST, EFFINGHAM, IL 62401-1788
(217) 342-3337
(217) 342-3338
Mailing address
PO BOX 784, EFFINGHAM, IL 62401-0784
(217) 342-3337
(217) 342-3338
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042007544
IL
Other
Enumeration date
03/09/2007
Last updated
02/23/2015
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