Individual
ELLEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-6000
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011103-1
NY
Other
Enumeration date
07/22/2006
Last updated
03/07/2023
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