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Individual

DR. CHARLES R HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12230 CASHLENAN LN, NEW LENOX, IL 60451-2799
(815) 463-8994
(815) 463-8946
Mailing address
12230 CASHLENAN LANE, NEW LENOX, IL 60451
(815) 463-8994
(815) 463-8946

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
IL

Other

Enumeration date
08/15/2006
Last updated
11/26/2007
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