Doctor Name: | MRS. PAMELA JOYCE HAERR |
NPI Number: | 1558384933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 209-000124 |
Business Practice Address: | 102 Creek Ct Prospect Heights, IL - 600701305 |
Business Phone Number: | 3125724690 |
Business Fax Number: | 3125724659 |
Mailing Address: | 2020 W Harrison St, CHICAGO |
State: | IL |
Postal Code: | 606123741 |
Phone Number: | 3125724690 |
Fax Number: | 3125724602 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 209-000124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |