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1508979758
CHARLES R HARRIS
NEW LENOX, IL
NPI
1508979758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: IL 036060209)
Enumeration Date
2006-08-15
Last Update Date
2007-11-26
Business Address
Dr. CHARLES R HARRIS MD
12230 CASHLENAN LN
NEW LENOX, IL 60451-2799
Phone number: 815-463-8994
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Mailing Address
Dr. CHARLES R HARRIS MD
12230 CASHLENAN LANE
NEW LENOX, IL 60451
Phone number: 815-463-8994
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