Search › Illinois › 207Q00000X
Bhrandon Harris, M.D
NPI 1306189790 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1919 W Taylor St
Suite 153
Chicago, IL 60612 - Phone
- (312) 413-9118
- Organisation at this address
- Rebel Nutrition Pllc
The Board Of Trustees Of The University Of IllinoisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois