Jonathan Haller, DDS is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jonathan Haller, DDS NPI is 1609524792. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
801 S PAULINA ST RM 458
CHICAGO, IL
ZIP 60612-210
Phone: (312) 413-4467
The enumeration date for this NPI number is 3/16/2022 and was last updated on 3/16/2022.