Haggerty, Stephen Peter

Haggerty, Stephen Peter is an individual health care provider with primary practice located at 767 Park Ave W Suite 320, Highland Park IL 60035-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Haggerty, Stephen Peter can be contacted via phone (847) 433-1060.

Contact Information

Primary practice address
767 Park Ave W Suite 320 Highland Park IL 60035-2400
Phone: (847) 433-1060
Fax: (847) 433-1399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036093013 Illinois

Profile Details

NPI number 1184606758
LBN Legal business name Haggerty, Stephen Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184606758 NPPES
Illinois MEDICAID 036093013

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