Individual
KIMBERLY MARIA MATHIS-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10908 S HALSTED ST, CHICAGO, IL 60628-3128
(773) 339-6556
(773) 701-6055
Mailing address
10908 S HALSTED ST, CHICAGO, IL 60628-3128
(773) 339-6556
(773) 701-6055
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
01/14/2021
Last updated
05/28/2025
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