Individual
DR. EDWIN JAMES HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
10540 W CERMAK RD, WESTCHESTER, IL 60154-5250
(708) 409-0546
(708) 409-0552
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016 002609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002609
—
IL
Enumeration date
10/11/2005
Last updated
04/27/2021
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