Individual
JAIME N HAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
5701 GODFREY RD, GODFREY, IL 62035-2471
(618) 433-9919
(618) 433-1455
Mailing address
15 APEX DR, SUITE 102, HIGHLAND, IL 62249-1282
(618) 441-0482
(618) 441-0482
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.018551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146703
MEDICARE PART A
IL
01
—
900068033
UNITED HEALTHCARE
IL
01
—
P01003127
RR MEDICARE
IL
Enumeration date
08/01/2011
Last updated
06/07/2016
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