Individual
DR. TASHA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9660 WICKER AVE, ST. JOHN, IN 46373-9487
(219) 365-7620
(219) 226-2287
Mailing address
9660 WICKER AVENUE, ST. JOHN, IN 46373-9487
(219) 365-7620
(219) 226-2287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01056752A
IN
207P00000X
Emergency Medicine Physician
036-103616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103616
—
IL
Enumeration date
06/10/2006
Last updated
09/13/2012
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