Individual
JAMES E HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050-8436
(815) 338-6600
Mailing address
4309 W MEDICAL CENTER DR STE A102, MCHENRY, IL 60050-8436
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-096836
IL
207RI0200X
Infectious Disease Physician
01050245
IN
207RI0200X
Infectious Disease Physician
036096836
IL
208M00000X
Hospitalist Physician
Primary
036096836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036096836
STATE LICENSE
IL
05
—
200224170
—
IN
01
—
615318700
US DEPT OF LABOR: 2222 W. DIVISION ST - LOC 2
IL
01
—
615318701
US DEPT OF LABOR: 2001 S. CALIFORNIA AVE - LOC 1
IL
Enumeration date
03/22/2006
Last updated
03/01/2023
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