Individual
DARREN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 W ROCKET CIR, PARK FOREST, IL 60466-1637
(708) 979-1250
Mailing address
18 W ROCKET CIR, PARK FOREST, IL 60466-1637
(708) 979-1250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5474
IN
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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