Provider Demographics
NPI:1104833797
Name:HARTMAN HEALTH SERVICES, P.C.
Entity Type:Organization
Organization Name:HARTMAN HEALTH SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:815-633-8099
Mailing Address - Street 1:5911 NEBESHONE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-8926
Mailing Address - Country:US
Mailing Address - Phone:815-633-8099
Mailing Address - Fax:815-633-0096
Practice Address - Street 1:5911 NEBESHONE LN
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-8926
Practice Address - Country:US
Practice Address - Phone:815-633-8099
Practice Address - Fax:815-633-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208257Medicare PIN
ILIL1478Medicare PIN
IL212084Medicare PIN
IL208258Medicare PIN
ILIL1382Medicare PIN