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Individual

DR. JENNY K HASLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2300 N CHILDRENS PLZ, OUTREACH PHYSICIAN SERVICES, CHICAGO, IL 60614-3363
(773) 880-6903
(773) 880-3068
Mailing address
2300 N CHILDRENS PLZ, BOX 152, CHICAGO, IL 60614-3363
(773) 880-6903
(773) 880-3068

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-097035
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036097035
IL
Enumeration date
09/07/2005
Last updated
10/30/2020
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