National Provider Identifier Database

CHARLES R HARRIS, MD – NPI #1508979758
Addiction Medicine

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


Contact Information

CHARLES R HARRIS, MD
12230 CASHLENAN LN
NEW LENOX, IL60451-2799
Phone: 815-463-8994
Fax: 815-463-8946
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for CHARLES R HARRIS

NPI Number 1508979758
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 11/26/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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