Healthcare Provider Details

I. General information

NPI: 1841827227
Provider Name (Legal Business Name): HALEY M MASTERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DIXIE HWY
CHICAGO HEIGHTS IL
60411-1741
US

IV. Provider business mailing address

19990 GOVERNORS HWY
OLYMPIA FIELDS IL
60461-1021
US

V. Phone/Fax

Practice location:
  • Phone: 877-692-8686
  • Fax: 708-754-3975
Mailing address:
  • Phone: 877-692-8686
  • Fax: 708-747-8038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.175238
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036.175238
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: