Charles R Harris in New Lenox - Addiction Medicine
Charles R Harris - NPI 1508979758
Charles R Harris is a Addiction Medicine in New Lenox, Illinois. Charles R Harris practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Charles R Harris is 1508979758. The last update date is 2007-11-26.
Charles R Harris's current location address is 12230 Cashlenan Lane, New Lenox, Illinois. You can contact this provider via phone number 8154638994 and fax number 8154638946. The mailing address for Charles R Harris is 12230 Cashlenan Lane, New Lenox, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles R Harris |
|---|---|
| Address | 12230 Cashlenan Lane, New Lenox, Illinois |
| Phone Number | 8154638994 |
| Fax Number | 8154638946 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508979758 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 12230 Cashlenan Lane |
|---|---|
| City | New Lenox |
| State | Illinois (IL) |
| Post Code | 60451 |
| Phone Number | 8154638994 |
| Fax Number | 8154638946 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the Charles R Harris's unique identification number?
The Charles R Harris has been assigned the NPI (National Provider Identifier) Number 1508979758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Charles R Harris's physical address?
The Charles R Harris is physically located at 12230 Cashlenan Lane, in the city of New Lenox, IL, with the postal code 60451.
What is Charles R Harris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles R Harris's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508979758 to Charles R Harris?
The Charles R Harris received its 1508979758 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date were the details pertaining to Charles R Harris last refreshed?
The information related to the Charles R Harris, including its address, specialty, and other relevant details, was last updated on 2007-11-26.
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