Harris, Mary Theresa
Harris, Mary Theresa is an individual health care provider with primary practice located at 1500 Carlemont Dr , Crystal Lake IL 60014-1833. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Harris, Mary Theresa can be contacted via phone (815) 477-2273.Contact Information
Primary practice address
1500 Carlemont Dr
Crystal Lake IL 60014-1833
Phone: (815) 477-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019031314 | Illinois |
Profile Details
| NPI number | 1417471327 |
|---|---|
| LBN Legal business name | Harris, Mary Theresa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2017 |
| Last updated | Dec 28th, 2020 - about 5 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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