John Charles Hart D.P.M.

NPI 1629208723 - Podiatrist - 213E00000X

NPI Details
NPI 1629208723
Gender Male
Enumeration Date 07/23/2009
Last Updated 07/23/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
300 E WAR MEMORIAL DR
SUITE 200
PEORIA IL, 61614-7570, US
Phone (309) 685-4244
Fax (309) 685-9875
Business Location
300 E WAR MEMORIAL DR
SUITE 200
PEORIA IL, 61614-7570, US
Phone (309) 685-4244
Fax (309) 685-9875
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016002951
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According to our database, Dr. John Charles Hart D.P.M. NPI is 1629208723, taxonomy code is 213E00000X and license number is 016002951, license state is located at Illinois. John Charles Hart D.P.M. physically located at 300 E War Memorial Dr, Peoria IL, 61614-7570. NPI Number John Charles Hart D.P.M. has the Individual type.

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1629208723 NPI number is provided on an as is basis without warranty of any kind. 1629208723 is maintained by the National Plan & Provider Enumeration System. The contents of John Charles Hart D.P.M. are for informational purposes only.