Individual
JEROME HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 S CICERO AVE # 2R, CHICAGO, IL 60644-4926
(708) 864-7023
Mailing address
309 S CICERO AVE # 2R, CHICAGO, IL 60644-4926
(708) 864-7023
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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