| Ms Karen Jane Bandusch Harris, PA-C | |
|
405 Kays Drive, Normal, IL 61761 | |
| (309) 862-0064 | |
| (309) 862-1542 |
| Full Name | Ms Karen Jane Bandusch Harris |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 405 Kays Drive, Normal, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003994104 | NPI | - | NPPES |
| 084278 | Other | HEALTH ALLIANCE | |
| 588330 | Other | OSF HEALTH PLAN CP | |
| 5723204 | Other | BCBS | |
| 588330 | Medicaid | IL | |
| CK5970 | Other | RR MEDIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085 000712 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-000712 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Karen Jane Bandusch Harris, PA-C 1400 Lismore Lane, Normal, IL 61761 Ph: (309) 888-9816 | Ms Karen Jane Bandusch Harris, PA-C 405 Kays Drive, Normal, IL 61761 Ph: (309) 862-0064 |
Amy J Stites, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
John D Fulk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Megan Becker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4800, Normal, IL 61761 Phone: 309-454-5900 | |
Kelsey Elizabeth Shrier, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 Landmark Dr Ste A, Normal, IL 61761 Phone: 309-268-3200 | |
Michele E Masching-wright, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2010 Jacobssen Dr, Normal, IL 61761 Phone: 309-452-0995 Fax: 309-862-0961 | |
Mrs. Dominno Caroline Fogle, M.M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Suite 100, Normal, IL 61761 Phone: 309-268-3761 |