Tearsa Harlan is a Pediatrics in Saint Jacob, Illinois. Tearsa Harlan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tearsa Harlan is 1053486449. The last update date is 2007-07-08.
Tearsa Harlan's current location address is 2068 Grandview Dr, Saint Jacob, Illinois. You can contact this provider via phone number 3147764320 and fax number 3147761875. The mailing address for Tearsa Harlan is 2068 Grandview Dr, Saint Jacob, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tearsa Harlan |
|---|---|
| Address | 2068 Grandview Dr, Saint Jacob, Illinois |
| Phone Number | 3147764320 |
| Fax Number | 3147761875 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1053486449 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2068 Grandview Dr |
|---|---|
| City | Saint Jacob |
| State | Illinois (IL) |
| Post Code | 622811073 |
| Phone Number | 3147764320 |
| Fax Number | 3147761875 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 2006003744 |
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Post Comment/ Review Below
What is the Tearsa Harlan's 1053486449?
The Tearsa Harlan's NPI (National Provider Identifier) Number is 1053486449. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tearsa Harlan?
The Tearsa Harlan is situated at 2068 Grandview Dr, in the city of Saint Jacob, state of IL, with the zip code 622811073.
What is Tearsa Harlan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tearsa Harlan is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053486449 to Tearsa Harlan?
The Centers for Medicare & Medicaid Services originally issued the 1053486449 to Tearsa Harlan on 2006-11-21.
When was the information regarding Tearsa Harlan most recently updated?
The details pertaining to the Tearsa Harlan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.