Harris, Julia

Harris, Julia is an individual health care provider with primary practice located at 1400 Otto Blvd , Chicago Heights IL 60411-3871. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harris, Julia can be contacted via phone (708) 754-7777.

Contact Information

Primary practice address
1400 Otto Blvd Chicago Heights IL 60411-3871
Phone: (708) 754-7777
Fax: (708) 754-7701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-119430 Illinois

Profile Details

NPI number 1619152014
LBN Legal business name Harris, Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Mar 5th, 2024 - about last year

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 1619152014 NPPES
Illinois MEDICAID 036119430
Illinois Other IL5686077

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