Individual
DR. MATTHEW HALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
222 N LASALLE ST STE 230, CHICAGO, IL 60601-1005
(312) 704-5511
Mailing address
222 N LASALLE ST STE 230, CHICAGO, IL 60601-1005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027894
IL
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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