Provider Demographics
NPI:1336773720
Name:HARPER HEALTH HINSDALE
Entity type:Organization
Organization Name:HARPER HEALTH HINSDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-947-7371
Mailing Address - Street 1:12 SALT CREEK LN STE 310
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8621
Mailing Address - Country:US
Mailing Address - Phone:855-947-7371
Mailing Address - Fax:312-284-4124
Practice Address - Street 1:12 SALT CREEK LN STE 310
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8621
Practice Address - Country:US
Practice Address - Phone:855-947-7371
Practice Address - Fax:312-284-4124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center