Individual
MARY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 N MASSASOIT AVE, 1ST FLOOR, CHICAGO, IL 60651-1120
(773) 379-6772
Mailing address
1255 N MASSASOIT AVE, 1ST FLOOR, CHICAGO, IL 60651-1120
(773) 379-6772
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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