Provider Demographics
NPI:1700038874
Name:IRA S. HALPER, M.D. S.C.
Entity Type:Organization
Organization Name:IRA S. HALPER, M.D. S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-226-0300
Mailing Address - Street 1:1725 W HARRISON ST STE 958
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3862
Mailing Address - Country:US
Mailing Address - Phone:312-226-0300
Mailing Address - Fax:
Practice Address - Street 1:1725 W HARRISON ST STE 958
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3862
Practice Address - Country:US
Practice Address - Phone:312-226-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty