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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184606758 | NPPES |
| Illinois | MEDICAID | 036093013 |
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