Individual
KEITH HARVEY IFFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W WALNUT ST, CANTON, IL 61520-2444
(309) 360-2600
Mailing address
PO BOX 10345, PEORIA, IL 61612-0345
(309) 360-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036072713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072713
—
IL
Enumeration date
03/09/2006
Last updated
07/20/2016
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