MEDICARE: DR. STEVEN DANIELL HARRAH PT,MTC,CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070-026532	IL
2	225100000X	Physical Therapist	PT11648	FL

General Provider Information

NPI Number	:	1376683219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN DANIELL HARRAH PT,MTC,CHT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	866-370-8206
Fax Number	:	517-435-3670

Provider Business Practice Location Address
First Line	:	1340 E 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-4508
Country	:	US
Telephone Number	:	773-496-5147
Fax Number	:	872-215-9417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/20/2023

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