Provider Demographics
NPI:1003851692
Name:HARDING, PAULINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2S661 ANGELINE CT
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-1301
Mailing Address - Country:US
Mailing Address - Phone:630-341-1246
Mailing Address - Fax:630-653-2172
Practice Address - Street 1:2S661 ANGELINE CT
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1301
Practice Address - Country:US
Practice Address - Phone:630-341-1246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036 056024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine