SHANE STEPHEN HARRIS

LIBERTYVILLE, IL
NPI1528762879
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.009911)
Enumeration Date2023-03-29
Last Update Date2024-02-27
Business Address
SHANE STEPHEN HARRIS PA
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048-5312
Phone number: 847-816-6335
Mailing Address
SHANE STEPHEN HARRIS PA
1860 W WINCHESTER RD STE 106
LIBERTYVILLE, IL 60048-5312
Phone number: 847-816-6335
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