Search › Illinois › 363A00000X
Karen Bandusch Harris, PA-C
NPI 1003994104 · on the registry since 2006
Practice
- Address
- 405 Kays Drive
Normal, IL 61761 - Phone
- (309) 862-0064
- Fax
- (309) 862-1542
- Organisation at this address
- Mental Wellness Center Inc
Central Il Psychiatric Associates, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois