Individual
JAMES J HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7171
Mailing address
1507 W COLUMBIA TER, PEORIA, IL 61606-1002
(708) 280-6181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.086609
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2025
Last updated
06/16/2025
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