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NPI Code Detail

MEDICARE: RUTH HARRISON

MEDICARE: RUTH HARRISON
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1841121944
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH HARRISON
Provider Business Mailing Address
First Line : PO BOX 564
Second Line :
City : NORTHBROOK
State : IL
Zip : 60065-0564
Country : US
Telephone Number : 847-604-0955
Fax Number :
Provider Business Practice Location Address
First Line : 105 N GREENLEAF ST STE B
Second Line :
City : GURNEE
State : IL
Zip : 60031-3326
Country : US
Telephone Number : 630-465-3963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ RUTH HARRISON ” Practice Location

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