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Individual

MAURICE J HALPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
16641 RIDGELAND AVE, TINLEY PARK, IL 60477-1869
(708) 822-0413
Mailing address
16641 RIDGELAND AVE, TINLEY PARK, IL 60477-1869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036054801
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036053801
IL
01
080117456/CA4448
RAILROAD PALMETTO GBA
IL
Enumeration date
09/14/2006
Last updated
11/07/2012
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