Individual
KATHLEEN O. HALLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(630) 321-8300
(630) 321-8750
Mailing address
100 E HURON ST APT 1707, CHICAGO, IL 60611-5900
(815) 337-1953
(630) 321-8750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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