Individual
DEBORAH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUITE 1118, CHICAGO, IL 60612-3841
(312) 563-2900
Mailing address
1725 W HARRISON ST, SUITE 1118, CHICAGO, IL 60612-3841
(312) 563-2900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-122870
IL
2084N0400X
Neurology Physician
39840
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23759747
—
CO
Enumeration date
08/30/2006
Last updated
09/21/2011
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