Individual
SANDRA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 264-8840
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 264-8840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-078621
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078621
—
IL
Enumeration date
07/17/2006
Last updated
11/23/2021
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