Organization
CHARLES R HARRIS & ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R HARRIS M.D. (PRESIDENT)
(312) 969-4333
Entity
Organization
Contact information
Practice address
10628 S LONGWOOD DR, CHICAGO, IL 60643-2617
(312) 969-4333
(773) 751-2250
Mailing address
10628 S LONGWOOD DR, CHICAGO, IL 60643-2617
(312) 969-4333
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036060209
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060209
—
IL
Enumeration date
12/21/2006
Last updated
08/20/2012
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