Individual
MARY S HARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3700 W 103RD ST, CHICAGO, IL 60655-3105
(773) 298-3712
(773) 298-3906
Mailing address
3700 W 103RD ST, CHICAGO, IL 60655-3105
(773) 298-3712
(773) 298-3906
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209006699
IL
Other
Enumeration date
09/13/2008
Last updated
01/12/2015
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