Robert H Haralson III, MD

Individual provider Active NPI Orthopaedic Surgery Physician · Rosemont, IL

NPI 1740313675 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1740313675
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
MD0000005090 (TN)
Practice address
6300 N River Rd
Rosemont, IL 60018-4206
Phone
(846) 384-4040
Fax
(847) 823-8028
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000005090TNMDOrthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD0000005090 TN Yes

Addresses

Primary practice location

6300 N River Rd
Rosemont, IL 60018-4206

Mailing address

6300 N River Rd
Rosemont, IL 60018-4206
Phone (846) 384-4040

Other providers in Rosemont, IL

All providers in Rosemont, IL · Orthopaedic Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.