Provider Demographics
NPI:1891974895
Name:HALAGHAY, JUBILEEN JALLORINA (PT)
Entity Type:Individual
Prefix:
First Name:JUBILEEN
Middle Name:JALLORINA
Last Name:HALAGHAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JUVILYN
Other - Middle Name:GUILOREZA
Other - Last Name:JALLORINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6226 N HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1008
Mailing Address - Country:US
Mailing Address - Phone:773-509-9667
Mailing Address - Fax:
Practice Address - Street 1:3001 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-3048
Practice Address - Country:US
Practice Address - Phone:847-688-1900
Practice Address - Fax:224-610-3706
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist