Individual
DR. JAY S HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAIN ST STE 210, PEORIA, IL 61602-5005
(309) 689-6074
Mailing address
900 MAIN ST STE 210, PEORIA, IL 61602-5005
(309) 689-6074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36100747
IL
207Q00000X
Family Medicine Physician
Primary
46420
WI
Other
Enumeration date
08/25/2006
Last updated
10/18/2017
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