person
Mr. Theodise Harris, FNP-BC
Family Nurse Practitioner in Chicago, Illinois
NPI 1134716830

Theodise Harris is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Theodise Harris practices in Chicago, IL and has the professional credentials of FNP-BC. The NPI Number for Theodise Harris is 1134716830 and holds a License No. 209022572 (Illinois).

The current practice location address for Theodise Harris is 2003 W Fulton St, Chicago, IL and can be reached out via phone at 312-243-2223.

Location: 2003 W Fulton St, Chicago, IL, 60612-2345
person
Provider Profile Details
NPI Number
1134716830
Provider Name
Theodise Harris
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
2003 W Fulton St, Chicago, IL, 60612-2345
Phone Number
312-243-2223
Fax Number
Provider Enumeration Date
12/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2003 W Fulton St
City
State
Zip
60612-2345
Phone Number
312-243-2223
Fax Number
person
Provider Business Mailing Address Details
Address
2003 W Fulton St
City
State
Zip
60612-2345
Phone Number
312-243-2223
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209022572 (Illinois)
Definition
Definition to come...
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