Individual
STEPHEN PETER HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
767 PARK AVE W, SUITE 320, HIGHLAND PARK, IL 60035-2400
(847) 433-1060
(847) 433-1399
Mailing address
767 PARK AVE W, SUITE 320, HIGHLAND PARK, IL 60035-2400
(847) 433-1060
(847) 433-1399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036093013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093013
—
IL
Enumeration date
11/18/2005
Last updated
10/13/2020
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