Haririe, Jonathan
Haririe, Jonathan is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Haririe, Jonathan can be contacted via phone (815) 759-3100.Contact Information
Primary practice address
4201 W Medical Center Dr
Mchenry IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085000692 | Illinois |
Profile Details
| NPI number | 1386741163 |
|---|---|
| LBN Legal business name | Haririe, Jonathan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 8th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386741163 | NPPES |
| Wisconsin | MEDICAID | 42997300 |
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