Individual provider · Type 1 NPI

Theodise Harris, FNP-BC

Family Nurse Practitioner · Chicago, IL

NPI number 1134716830 Active

Practice location

2003 W Fulton St
Chicago, IL 60612-2345

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209022572 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1134716830

Theodise Harris, FNP-BC's National Provider Identifier is 1134716830, issued on Dec 29, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 28, 2022.