CHARLES HARRIS (NPI# 1326065871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326065871 |
| Entity Type | Individual |
| Full Name | CHARLES HARRIS |
| Credential | M.D. |
| Practice Address |
2750 W North Ave Chicago IL 60647-5247 |
| Mailing Address |
156 W Superior St Apt 301 Chicago IL 60654-8761 |
| Practice Telephone | 3126663494 |
| Mailing Telephone | 3122085178 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-112117 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | A74170 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036112117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757665 | Charles Harris | Counselor | 27940 Tyler Ln, Canyon Country, CA 91387-2918 | 2018-10-29 |
| 1699052050 | Charles Wood Harris | Physical Therapist | 880 Canyon Creek Ln, Gardnerville, NV 89460-6426 | 2011-11-12 |
| 1497964738 | Charles Noma Harris | Psychologist | 4815 Thomas Rd, Sebastopol, CA 95472-9764 | 2007-05-22 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1841411543 | Charles Ronald Harris | Pharmacist | 3621 N Highway 231, Panama City, FL 32404-9743 | 2007-05-01 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1770666562 | Charles R Harris Jr. | Dentist | 2922 George Washington Highway, Hayes, VA 23072 | 2006-10-23 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1073524005 | Charles Harris Sr. | Social Worker | 1230 Magnolia Dale Dr, Fresno, TX 77545-9680 | 2006-08-11 |
| 1427016534 | Charles L Harris | Ophthalmology | 836 East 65th St, Bldg 34, Savannah, GA 31405-6007 | 2006-05-01 |
| Street Address |
2750 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788122 | Nohemi Herrera | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-04-03 |
| 1750919452 | Jessica Mcgee | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-29 |
| 1649806548 | Saad Siddiqui | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-23 |
| 1033744081 | Nida Bajwa | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2020-03-10 |
| 1053960971 | Tobias Holden | Student in an Organized Health Care Education/Training Program | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-09-04 |
| 1396305751 | Laboratory Corporation of America | Clinical Medical Laboratory | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-06-18 |
| 1811458466 | Nicole Marie Paprocki | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-27 |
| 1730649229 | Bushra Anis | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-21 |
| 1851851463 | Christina Du Breuil | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-20 |
| 1568921435 | Carol Esther Platt | Family Medicine | 2750 W North Ave, Chicago, IL 60647-5247 | 2019-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| 1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.