Mathis-Harris, Kimberly Maria

Mathis-Harris, Kimberly Maria is an sole proprietor health care provider with primary practice located at 1439 W 103Rd St Ste 3 , Chicago IL 60643-2900. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Mathis-Harris, Kimberly Maria can be contacted via phone (773) 339-6556.

Contact Information

Primary practice address
1439 W 103Rd St Ste 3 Chicago IL 60643-2900
Phone: (773) 339-6556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1619566627
LBN Legal business name Mathis-Harris, Kimberly Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 4 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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