Doctor profile · Federal record
Dr. Jericho Hallare
Surgery Physician · Maywood, IL
- NPI 1992407993
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2160 S. 1St. Avenue Bldg. 105, Suite 2840A
Maywood, IL 60153
(888) 584-7888
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- May 1, 2023
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Illinois #125081474
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992407993. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$316
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tela Bio, INC. | 1 | $165.91 | |
| PolyNovo North America LLC | 1 | $81.06 | |
| Innovation Technologies INC | 1 | $37.44 | |
| LeMaitre Vascular, INC. | 2 | $31.92 |
By nature of payment
Frequently asked questions
What is Dr. Jericho Hallare's medical specialty?
Dr. Jericho Hallare practices Surgery Physician in Maywood, IL.
Where does Dr. Jericho Hallare practice?
Dr. Jericho Hallare practices at 2160 S. 1St. Avenue Bldg. 105, Maywood, IL 60153. Office phone: 8885847888.
What is Dr. Jericho Hallare's NPI?
Dr. Jericho Hallare's National Provider Identifier (NPI) is 1992407993, issued by NPPES.