Individual
MS. GWENDOLYN HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
820 S DAMEN AVE, DEPT OF ANESTHESIA, CHICAGO, IL 60612-3728
(312) 560-6126
Mailing address
16512 KNOTTINGWOOD AVE, OAK FOREST, IL 60452-4129
(708) 560-0316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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