Harris, Christopher E.C.

Harris, Christopher E.C. is an individual health care provider with primary practice located at 148 Mckinley Ave , Libertyville IL 60048-2729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Christopher E.C. can be contacted via phone (224) 628-0109.

Contact Information

Primary practice address
148 Mckinley Ave Libertyville IL 60048-2729
Phone: (224) 628-0109
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036068154 Illinois

Profile Details

NPI number 1396742060
LBN Legal business name Harris, Christopher E.C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 13th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396742060 NPPES
Illinois MEDICAID 0036068154

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