Individual
CRAIG KENNETH HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6490
Mailing address
163 E BETHALTO DR, BETHALTO, IL 62010-1801
(618) 433-6490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109847
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361098472
—
IL
Enumeration date
08/16/2006
Last updated
10/15/2021
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