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Contact Information

JACQUELINE C HAIRSTON, MD
250 E SUPERIOR ST # 3-2304
CHICAGO, IL60611-2914
 Phone: 312-472-4685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACQUELINE C HAIRSTON · (Female)

NPI # 1699138347
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2016
Last updated 05/07/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.165933
  • IL License # 125.068384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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