Individual
CHRISTA J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4858 S CHAMPLAIN AVE APT 1S, CHICAGO, IL 60615-2031
(773) 842-2524
Mailing address
4858 S CHAMPLAIN AVE APT 1S, CHICAGO, IL 60615-2031
(773) 842-2524
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041372826
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209031528
IL
Other
Enumeration date
03/21/2024
Last updated
05/06/2026
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