Individual
BREA REBECCA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
(773) 288-6900
Mailing address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.519071
IL
163W00000X
Registered Nurse
164197
CT
163W00000X
Registered Nurse
RN78031
ME
363LW0102X
Women's Health Nurse Practitioner
Primary
209.024513
IL
Other
Enumeration date
11/12/2021
Last updated
01/06/2022
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