Harris, Charles R

Harris, Charles R is an sole proprietor health care provider with primary practice located at 12230 Cashlenan Ln , New Lenox IL 60451-2799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Harris, Charles R can be contacted via phone (815) 463-8994.

Contact Information

Primary practice address
12230 Cashlenan Ln New Lenox IL 60451-2799
Phone: (815) 463-8994
Fax: (815) 463-8946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Illinois

Profile Details

NPI number 1508979758
LBN Legal business name Harris, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Nov 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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