Individual
ASHTON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
676 N SAINT CLAIR ST STE 415, CHICAGO, IL 60611-3133
(312) 926-3627
(312) 694-4102
Mailing address
676 N SAINT CLAIR ST STE 415, CHICAGO, IL 60611-3133
(312) 926-3627
(312) 694-4102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041534445
IL
363L00000X
Nurse Practitioner
Primary
209029657
IL
363LF0000X
Family Nurse Practitioner
209.029657
IL
Other
Enumeration date
03/28/2024
Last updated
06/26/2024
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