MS. Wanda Harris

NPI #1205180262 in Chicago, Illinois

Provider Information

NPI Number: 1205180262
Entity Type: Individual
Name: MS. Wanda Harris
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 30, 2012
Last Updated: Oct 30, 2012

Practice Location

Address: 7837 S LANGLEY AVE
City: Chicago
State: Illinois
ZIP Code: 60619-3009
Phone: (773) 983-7090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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