Individual
JOHN R HAEBICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3825 N CENTRAL AVE, CHICAGO, IL 60634-2719
(773) 282-6188
(773) 282-7389
Mailing address
360 W BUTTERFIELD RD STE 325, ELMHURST, IL 60126-5088
(773) 282-6188
(773) 282-7389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069235
—
IL
Enumeration date
05/18/2006
Last updated
01/07/2025
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