MEDICARE: MS. RHONDA HARMON

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BD1200X	Dialysis Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1922403948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA HARMON

Provider Business Mailing Address
First Line	:	3910 TIMBERLEA CT
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-4621
Country	:	US
Telephone Number	:	708-914-4080
Fax Number	:	708-647-7511

Provider Business Practice Location Address
First Line	:	3910 TIMBERLEA CT
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-4621
Country	:	US
Telephone Number	:	708-914-4080
Fax Number	:	708-647-7511

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

Provider Enumeration Date	:	11/03/2014
Last Update Date	:	01/04/2026

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Directions to “ MS. RHONDA HARMON ” Practice Location

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