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BRIDGET MARIE HALEY DO NPI 1104321272


NPI Information

NPI: 1104321272
Provider Name: BRIDGET MARIE HALEY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ADVOCATE HEALTH AND HOSPITALS CORPORATION

PECOS Registration: Yes

Address:
6434 W NORTH AVE
CHICAGO, IL
ZIP 60707
Phone: (773) 836-3000
Get Directions

Bridget Marie Haley, DO is a family medicine in Chicago, IL with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bridget Marie Haley, DO NPI is 1104321272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2018

The provider's business location address is:

6434 W NORTH AVE
CHICAGO, IL
ZIP 60707-030
Phone: (773) 836-3000

The NPI 1104321272 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 12/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine125.071794ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207Q00000XFamily Medicine036157305ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.