Individual
DR. THOMAS JAMES HAFERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S. MARYLAND AVE, CHICAGO, IL 60637-3801
(773) 702-1150
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.1614136
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036164136
IL
Other
Enumeration date
05/15/2020
Last updated
07/03/2024
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