Donna Tanisha Harris, PMHNP-BC | |
641 W 63rd St, Chicago, IL 60621-2032 | |
(773) 388-1600 | |
Not Available |
Full Name | Donna Tanisha Harris |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 641 W 63rd St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457918385 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Howard Brown Health Center | 1052203155 | 55 |
Entity Name | Howard Brown Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526 |
Mailing Address | Practice Location Address |
---|---|
Donna Tanisha Harris, PMHNP-BC 641 W 63rd St, Chicago, IL 60621-2032 Ph: () - | Donna Tanisha Harris, PMHNP-BC 641 W 63rd St, Chicago, IL 60621-2032 Ph: (773) 388-1600 |
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