Individual
CAROLINA HALINA HARTJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036168709
IL
207P00000X
Emergency Medicine Physician
81430-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2021
Last updated
03/31/2026
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