Individual
DR. BHRANDON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 W TAYLOR ST, SUITE 153, CHICAGO, IL 60612-7246
(312) 413-9118
Mailing address
1919 W TAYLOR ST, SUITE 153, CHICAGO, IL 60612-7246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036140660
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/03/2013
Last updated
09/15/2016
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