Provider Demographics
NPI:1104548726
Name:HALL, TERESA MARIE (MPH, CHES, NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:MARIE
Last Name:HALL
Suffix:
Gender:F
Credentials:MPH, CHES, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11005 CAPE COD LN
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-8153
Mailing Address - Country:US
Mailing Address - Phone:847-458-9055
Mailing Address - Fax:
Practice Address - Street 1:11005 CAPE COD LN
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-8153
Practice Address - Country:US
Practice Address - Phone:847-458-9055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach