Individual
MARY AMAL KHOURY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6339 N BIG HOLLOW RD, PEORIA, IL 61615-2907
(309) 691-3315
(309) 693-9385
Mailing address
6339 N BIG HOLLOW RD, PEORIA, IL 61615-2907
(309) 691-3315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-087846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087846
—
IL
Enumeration date
09/24/2006
Last updated
01/02/2024
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