Halaris, Angelos

Halaris, Angelos is an individual health care provider with primary practice located at 2160 S 1St Ave Fahey Bldg., Rm. 222, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Halaris, Angelos can be contacted via phone (708) 216-3750.

Contact Information

Primary practice address
2160 S 1St Ave Fahey Bldg., Rm. 222 Maywood IL 60153
Fax: (708) 216-6840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36110109 Illinois

Profile Details

NPI number 1891762621
LBN Legal business name Halaris, Angelos
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 21st, 2022 - about 2 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 1891762621 NPPES
Illinois MEDICAID 36110109

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