Individual
MR. CHAD ERIC HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC
Contact information
Practice address
1600 DODGE AVE, EVANSTON, IL 60201-3449
(847) 424-7373
Mailing address
17431 W WOODLAND DR, GRAYSLAKE, IL 60030-3038
(847) 573-0130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96000945
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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