Individual
MRS. AMANDA COLLEEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
9501 SOUTH MARTIN LUTHER KING DRIVE, CHICAGO, IL 60628
(773) 995-4529
(773) 334-2223
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277-002479
IL
Other
Enumeration date
09/15/2020
Last updated
09/08/2025
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