DR. TOWANDA SHANTA HARRIS M.D. NPI 1871507939

Family Medicine in Peoria, IL

About TOWANDA HARRIS

Towanda Harris is a provider in Peoria, IL. The NPI number assigned to this provider is 1871507939. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago.

NPI1871507939 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. TOWANDA SHANTA HARRIS M.D.
Provider Location Address2321 N WISCONSIN AVE PEORIA, IL 61603 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2214 N UNIVERSITY ST PEORIA, IL 61604 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-27-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-26-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. TOWANDA SHANTA HARRIS M.D.
2321 N WISCONSIN AVE
PEORIA, IL
ZIP 61603
Phone: (309) 680-7600
Fax: (309) 681-4681
Get Directions

Mailing Address

DR. TOWANDA SHANTA HARRIS M.D.
2214 N UNIVERSITY ST
PEORIA, IL
ZIP 61604
Phone: (309) 680-7669
Fax: (309) 681-8443

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.036.115533
License StateIL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
036-115533MEDICAID (05)IL

Map Location


DR. TOWANDA SHANTA HARRIS M.D. address is 2321 N WISCONSIN AVE PEORIA, IL 61603

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083142038 SAMANTHA ELIZABETH MARTIN CNM
Individual
Advanced Practice Midwife2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1144393760KROGER LIMITED PARTNERSHIP I
Organization
Pharmacy (Community/Retail Pharmacy)2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 688-9456
1235505108 BETHANY JOY WINFREY FERGUSON NP
Individual
Nurse Practitioner2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1467658443HEARTLAND COMMUNITY HEALTH CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1548201098HEARTLAND COMMUNITY HEALTH CLINIC
Organization
Clinic/Center (Dental)2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7640
1699112607 SARAH ELIZABETH FAHNHORST D.O.
Individual
Internal Medicine2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1740725837 ANGELA MARIE MILLER FNP-C
Individual
Nurse Practitioner (Family)2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1811326317MS. CAROLYN ANN CALHOUN APN, CNM
Individual
Advanced Practice Midwife2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1861594749MS. DENISE J LEONARDI NP
Individual
Nurse Practitioner (Women's Health)2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1992034532 MARY L TISDALE CNM
Individual
Advanced Practice Midwife2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600
1992757322 CHRISTINE L THARENOS MD
Individual
Family Medicine (Sports Medicine)2321 N WISCONSIN AVE
PEORIA, IL 61603
(309) 680-7600