Harmonic Medical Group Of Illinois, S.C.
Family Medicine, Geriatric Medicine in Springfield, IL. Organization (NPI-2).
NPI number1295597342
StatusActive
Last updated in NPPESMay 7, 2026
Details
- NPI
- 1295597342
- Entity type
- Organization (NPI-2)
- Legal business name
- Harmonic Medical Group Of Illinois, S.C.
- Organization subpart
- No
- Enumeration date
- Jan 24, 2024
- Certification date
- May 7, 2026
- Last updated
- May 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – |
Practice location
1315 W Lawrence AveSpringfield, IL 62704-2315
Phone 862-375-6089
Mailing address
119 S Main StSaint Charles, MO 63301-2802
Authorized official
James Gera
Chief Executive Officer
3143684224
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