Individual
BIANCA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CLS
Contact information
Practice address
16129 EVANS AVE, SOUTH HOLLAND, IL 60473-1662
(708) 846-0789
Mailing address
16129 EVANS AVE, SOUTH HOLLAND, IL 60473-1662
(708) 846-0789
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
14586
IL
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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