Individual
ANN NUTALL -HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N LA GRANGE RD, SUITE ONE, LA GRANGE PARK, IL 60526-5646
(708) 795-4834
(708) 795-4834
Mailing address
333 N LA GRANGE RD, SUITE ONE, LA GRANGE PARK, IL 60526-5646
(708) 795-4834
(708) 795-4834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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