ETHAN S HARRIS

LOVES PARK, IL
NPI1629638788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209019805)
Enumeration Date2019-06-19
Last Update Date2019-08-12
Business Address
ETHAN S HARRIS CRNA
2202 HARLEM RD STE 200
LOVES PARK, IL 61111-2754
Phone number: 815-877-4848
Mailing Address
ETHAN S HARRIS CRNA
2202 HARLEM RD STE 200
LOVES PARK, IL 61111-2754
Phone number: 815-877-4848