Individual
MARGO HELENE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2645 W LAWRENCE AVE, CHICAGO, IL 60625
(773) 275-1680
Mailing address
4235 N DAMEN AVE APT 2, CHICAGO, IL 60618-3011
(917) 862-6047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036145576
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2015
Last updated
08/09/2018
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