Organization
JEFFREY A. HALPERN, DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HALPERN DDS (PRESIDENT)
(847) 827-6300
Entity
Organization
Contact information
Practice address
701 LEE ST, SUITE 640, DES PLAINES, IL 60016-4539
(847) 827-6300
(847) 827-6306
Mailing address
701 LEE ST, SUITE 640, DES PLAINES, IL 60016-4539
(847) 827-6300
(847) 827-6306
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
019022874(021001595)
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019022874
—
IL
Enumeration date
12/19/2008
Last updated
12/19/2008
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