Individual
JACK S HARWEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1036 W STEPHENSON ST, FREEPORT, IL 61032-4865
(815) 599-7715
Mailing address
PO BOX 857, FREEPORT, IL 61032-0857
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-358671
IL
207RC0000X
Cardiovascular Disease Physician
209-010694
IL
363L00000X
Nurse Practitioner
209-010694
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
277003875
IL
Other
Enumeration date
09/10/2013
Last updated
01/28/2026
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