Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kami Jo Larson Harless, MD

Individual provider Family Medicine Physician · NPI 1841533171

Kami Jo Larson Harless, MD is a Family Practice in Springfield, Illinois. Graduated from University of Wisconsin School of Medicine in 2013, 13 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
13
Trained at
University of Wisconsin School of Medicine
Licensed in
IL, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 757-8161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 319 E Madison St Ste 1f, Springfield, IL 62701-3118 — (217) 545-8000
  • 2833 S Grand Ave E Ste 100, Springfield, IL 62703-2175 — (217) 535-3100
  • 1600 E Clear Lake Ave Ste 120, Springfield, IL 62703-1172 — (217) 545-8000
  • 1401 Madison St, Seattle, WA 98104-1316 — (206) 386-6197

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.142057 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60587321 (WA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 036.142057 (IL)

Record details

NPI number1841533171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2013
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing addressPo Box 19639, Springfield, IL 62794-9639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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