SearchIllinois101Y00000X

Vita Harris

NPI 1336630623 · on the registry since 2018

Practice

Address
5642 W Diversey Ave
Chicago, IL 60639
Phone
(708) 465-1293
Fax
(708) 575-3167
Clinicians at this address
3

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-23

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