MR. Theodise Harris, FNP-BC is a family nurse practitioner in Chicago, IL with 5 years of experience. MR. Theodise Harris, FNP-BC NPI is 1134716830. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2003 W FULTON ST
CHICAGO, IL
ZIP 60612-345
Phone: (312) 243-2223
The NPI 1134716830 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/29/2020 and was last updated on 3/28/2022.