Search › Illinois › 363A00000X
Shane Harris, PA
NPI 1528762879 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1860 W Winchester Rd Ste 106
Libertyville, IL 60048 - Phone
- (847) 816-6335
- Organisation at this address
- Rci (Wrs), Llc
Rci (Wrs), Llc.
Joyce Muni, M.D.
Kids Therapy, Ltd.
Kim M Carnazzola Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 9555 76th St Fl 2, Pleasant Prairie, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-18
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