IndividualActive
Harrison Putman, MD
NPI 1477524171 · Otolaryngology/Facial Plastic Surgery Physician · Peoria, IL
Provider details
- NPI number
- 1477524171
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7301 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 589-3233
Fax: (309) 683-4120
Approximate (ZIP-level) locationGet directions
Mailing address
7301 N Knoxville Ave
Peoria, IL 61614-2017
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.