MEDICARE: MARY HARRIS

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	227800000X	Certified Respiratory Therapist		IL

General Provider Information

NPI Number	:	1669550810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HARRIS

Provider Business Mailing Address
First Line	:	1255 N MASSASOIT AVE
Second Line	:	1ST FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60651-1120
Country	:	US
Telephone Number	:	773-379-6772
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 N MASSASOIT AVE
Second Line	:	1ST FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60651-1120
Country	:	US
Telephone Number	:	773-379-6772
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801605514 — JOETTA LITTLE
Practice Location Address:

7601 S KOSTNER AVE STE 400
CHICAGO, IL
60652-1120

Practice Phone: 217-284-2608
Practice Fax: 217-439-3547

1437142973 — LUIS C LEWIS OD
Practice Location Address:

329 W 18TH ST , #311
CHICAGO, IL
60616-1120

Practice Phone: 312-929-3340
Practice Fax: 312-929-3341

1740338847 — MRS. CHANDI K. EDMONDS MPT, DPT
Practice Location Address:

221 E. CULLERTON , UNIT 1120
CHICAGO, IL
60616-1498

Practice Phone: 312-593-3915
Practice Fax: 312-326-6009

1063538486 — DR. MICHAEL KOMIE PHD.
Practice Location Address:

180 N MICHIGAN AVE , #1120
CHICAGO, IL
60601-7401

Practice Phone: 312-220-0044
Practice Fax:

1306034632 — MS. LORI MICHELLE GORDON
Practice Location Address:

1120 N. LASALLE DR. , #7F
CHICAGO, IL
60610-2685

Practice Phone: 312-642-2789
Practice Fax:

1962637439 — AGELESS EYE CARE P.C.
Practice Location Address:

329 W 18TH ST , #311
CHICAGO, IL
60616-1120

Practice Phone: 312-952-4847
Practice Fax:

Directions to “ MARY HARRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.