Doctor Name: | JAIME N HAAR |
NPI Number: | 1659659209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 070.018551 |
Business Practice Address: | 5701 Godfrey Rd Godfrey, IL - 620352471 |
Business Phone Number: | 6184339919 |
Business Fax Number: | 6184331455 |
Mailing Address: | 15 Apex Dr, Suite 102 HIGHLAND |
State: | IL |
Postal Code: | 622491282 |
Phone Number: | 6184410482 |
Fax Number: | 6184410482 |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 070.018551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |