Active NPI
Zach Harbin
- Family Medicine Physician
- Quincy, IL
National Provider Identifier
1417790577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125084238
- Practice address
- 612 N 11TH St
Quincy, IL 62301-2662 - Phone
- (217) 224-9484
- NPI assigned
- Jun 17, 2024
- Last updated
- Jan 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125084238 | IL | Primary |
Addresses
Primary practice location
612 N 11TH St
Quincy, IL 62301-2662
Mailing address
612 N 11TH St
Quincy, IL 62301-2662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702001562 | IL | Order and Referring Only - Family Practice | 3678017506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125084238 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1417790577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N 11TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012662",
"fax_number": "217-224-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N 11TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012662",
"telephone_number": "217-224-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBIN",
"first_name": "ZACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-17",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125084238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.