THEODISE HARRIS

CHICAGO, IL
NPI1134716830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209022572)
Enumeration Date2020-12-29
Last Update Date2022-03-28
Business Address
Mr. THEODISE HARRIS FNP-BC
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-243-2223
Mailing Address
Mr. THEODISE HARRIS FNP-BC
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-243-2223
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