Individual
JEANINE HARSHBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7058
(847) 535-7023
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7058
(847) 535-7023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000598
IL
363LF0000X
Family Nurse Practitioner
209-0000598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209000598
—
IL
Enumeration date
10/27/2005
Last updated
12/04/2025
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