Individual
JEANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 692-1030
(309) 692-3241
Mailing address
5101 N EXECUTIVE DR, PEORIA, IL 61614-4868
(309) 692-1030
(309) 692-3241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
10/15/2006
Last updated
07/09/2007
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