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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 codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine036126527ILYes
207P00000X Emergency Medicine4301089811MI
390200000X Student in an Organized Health Care Education/Training Program4301089811MI

Practice location

405 W Jackson St
Carbondale, IL 62901-1462

Phone 618-549-0721 · Fax 618-457-0469

Mailing address

Po Box 3988
Carbondale, IL 62902-3988

Phone 618-457-5200

Other practice locations

201 S 14th St
Herrin, IL 62948-3631

Phone 618-942-2171 · Fax 618-988-6186

2 S Hospital Dr
Murphysboro, IL 62966-3333

Phone 618-684-3156 · Fax 618-529-0524

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