Provider Demographics
NPI:1922034065
Name:HALPER, SHELLEY J (MD)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:J
Last Name:HALPER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5201 WILLOW SPRINGS RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60525
Mailing Address - Country:US
Mailing Address - Phone:708-482-3213
Mailing Address - Fax:708-482-3230
Practice Address - Street 1:5201 WILLOW SPRINGS RD
Practice Address - Street 2:SUITE #430
Practice Address - City:LA GRANGE HIGHLANDS
Practice Address - State:IL
Practice Address - Zip Code:60525-6537
Practice Address - Country:US
Practice Address - Phone:708-482-3213
Practice Address - Fax:708-482-3230
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2015-09-30
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Provider Licenses
StateLicense IDTaxonomies
IL036-077195207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-077195OtherSTATE OF ILLINOIS
ILK01382Medicare ID - Type Unspecified
IL036-077195OtherSTATE OF ILLINOIS