Harris, Richard Gerald

Harris, Richard Gerald is an individual health care provider with primary practice located at 501 W North Ave Ste 201 , Melrose Park IL 60160-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Harris, Richard Gerald can be contacted via phone (708) 450-5055.

Contact Information

Primary practice address
501 W North Ave Ste 201 Melrose Park IL 60160-1600
Phone: (708) 450-5055
Fax: (708) 338-2474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036063183 Illinois

Profile Details

NPI number 1346290673
LBN Legal business name Harris, Richard Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346290673 NPPES
Illinois MEDICAID 036063183
Illinois Other P00255232

Popular Providers