Individual
IYUNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
19740 GOVERNORS HWY, STE 118, FLOSSMOOR, IL 60422-2084
(708) 799-5569
Mailing address
443 VICTORY DR, PARK FOREST, IL 60466-2084
(773) 844-9235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010459
IL
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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