Individual
DR. ANDREW MICHAEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3643 MUNICIPAL DR, MCHENRY, IL 60050-5434
(815) 759-1100
(815) 344-1208
Mailing address
3643 MUNICIPAL DR, MCHENRY, IL 60050-5434
(815) 759-1100
(815) 344-1208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400154860
MEDICARE PTAN
IL
Enumeration date
07/18/2005
Last updated
05/24/2022
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