Dr. Joseph Raymond Haake, MD
Emergency Medicine in Carbondale, IL. Individual provider (NPI-1).
NPI number1982805503
StatusActive
Last updated in NPPESSep 16, 2021
Details
- NPI
- 1982805503
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Raymond Haake
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Certification date
- Sep 16, 2021
- Last updated
- Sep 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036126527 | IL | Yes |
| 207P00000X | Emergency Medicine | 4301089811 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301089811 | MI |
Practice location
405 W Jackson StCarbondale, IL 62901-1462
Phone 618-549-0721 · Fax 618-457-0469
Mailing address
Po Box 3988Carbondale, IL 62902-3988
Phone 618-457-5200
Other practice locations
201 S 14th St
Herrin, IL 62948-3631
Herrin, IL 62948-3631
Phone 618-942-2171 · Fax 618-988-6186
2 S Hospital Dr
Murphysboro, IL 62966-3333
Murphysboro, IL 62966-3333
Phone 618-684-3156 · Fax 618-529-0524
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