Organization
THOMAS J HABERKAMP M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J HABERKAMP MD (SOLE PROPRIETOR)
(312) 942-9980
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 938, CHICAGO, IL 60612-3841
(312) 942-9980
(312) 942-9970
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627261
BCBS PROVIDER ID
IL
01
—
9190424
ADVOCATE HLTH PARTNERS
IL
01
—
DC3075
RAILROAD MEDICARE
IL
Enumeration date
09/21/2006
Last updated
11/01/2007
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