Individual provider · Type 1 NPI

Charles R. Harris, MD

Addiction Medicine (Psychiatry & Neurology) Physician · New Lenox, IL

NPI number 1508979758 Active

Practice location

12230 Cashlenan Ln
New Lenox, IL 60451-2799

Fax (815) 463-8946

Mailing address

12230 Cashlenan Lane
New Lenox, IL 60451

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Another provider at this address

About NPI 1508979758

Charles R. Harris, MD's National Provider Identifier is 1508979758, issued on Aug 15, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in New Lenox, IL. The record was last updated on Nov 26, 2007.