Individual
JONATHAN HARIRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-3100
(815) 363-9094
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-3100
(815) 363-9094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42997300
—
WI
Enumeration date
09/20/2006
Last updated
12/08/2021
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