Harmon, Agnes

Harmon, Agnes is an individual health care provider with primary practice located at 19550 Governors Hwy Suite 2000, Flossmoor IL 60422-2125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harmon, Agnes can be contacted via phone (708) 957-8750.

Contact Information

Primary practice address
19550 Governors Hwy Suite 2000 Flossmoor IL 60422-2125
Phone: (708) 957-8750
Fax: (708) 957-8602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 70000176A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209.010552 Illinois

Profile Details

NPI number 1740244748
LBN Legal business name Harmon, Agnes
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 18th, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740244748 NPPES
Illinois Other P01325484 RR MEDICARE
Illinois MEDICAID 200532770 RR MEDICARE
Illinois Other F400437514 RR MEDICARE

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