Search › Illinois › 101YM0800X
Samuel Harrris
NPI 1992567531 · on the registry since 2024 · sole proprietor
Practice
- Address
- 8 Executive Dr
Fairview Hts, IL 62208 - Phone
- (314) 616-9498
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-29
- Status
- Not present in the most recent federal file
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