Individual
JOHNIE L HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 HERATH LN, SHOREWOOD, IL 60404-6803
(219) 888-0743
Mailing address
503 HERATH LN, SHOREWOOD, IL 60404-6803
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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