Harley, James E
Harley, James E is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste A102 , Mchenry IL 60050-8436. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Harley, James E can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
4309 W Medical Center Dr Ste A102
Mchenry IL 60050-8436
Phone: (815) 338-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-096836 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036096836 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01050245 | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036096836 | Illinois |
Profile Details
| NPI number | 1174582738 |
|---|---|
| LBN Legal business name | Harley, James E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Mar 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174582738 | NPPES |
| Illinois | Other | 615318700 | US DEPT OF LABOR: 2222 W. DIVISION ST - LOC 2 |
| Illinois | Other | 615318701 | US DEPT OF LABOR: 2222 W. DIVISION ST - LOC 2 |
| Illinois | Other | 036096836 | US DEPT OF LABOR: 2222 W. DIVISION ST - LOC 2 |
| Illinois | MEDICAID | 200224170 | US DEPT OF LABOR: 2222 W. DIVISION ST - LOC 2 |
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