Individual
WALID YOUSEF HALEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 S PARK AVE, SUITE1, HERRIN, IL 62948-3611
(618) 942-7402
(618) 942-7403
Mailing address
217 S PARK AVE STE 1, HERRIN, IL 62948-3611
(618) 942-7402
(618) 942-7403
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036142704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP -MULTI-SPECIALTY NUMBER.
IL
Enumeration date
03/17/2017
Last updated
06/12/2017
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