Organization
BRUCE W. HALLMANN, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE W. HALLMANN M.D. (PRESIDENT)
(708) 588-0334
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 220, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 588-0334
(708) 588-0337
Mailing address
5201 WILLOW SPRINGS RD, SUITE 220, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 588-0334
(708) 588-0337
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03055517
—
IL
01
—
200005698
RAILROAD MEDICARE
IL
01
—
5151090001
DMERC
IL
01
—
683891
UNSPECIFIED
IL
Enumeration date
09/20/2010
Last updated
09/20/2010
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