Individual
DR. COLIN M HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12200 WESTERN AVE, SUITE 108, BLUE ISLAND, IL 60406-1398
(708) 385-3700
(708) 385-3707
Mailing address
430 W ERIE ST, STE 500, CHICAGO, IL 60610-6914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01927330
IL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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