RICHARD GERALD HARRIS (NPI# 1346290673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346290673 |
| Entity Type | Individual |
| Full Name | RICHARD GERALD HARRIS |
| Credential | M.D. |
| Practice Address |
501 W North Ave Ste 201 Melrose Park IL 60160-1600 |
| Mailing Address |
675 W North Ave Suite 605 Melrose Park IL 60160-1634 |
| Practice Telephone | 7084505055 |
| Practice Fax Number | 7083382474 |
| Mailing Telephone | 7084505055 |
| Mailing Fax Number | 7083382474 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036063183 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00255232 | 01 |
| IL | 036063183 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 W North Ave Ste 201, Melrose Park, IL 601601600 | 7084505055 | 7083382474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578063939 | Richard Duran Harris | Non-emergency Medical Transport (VAN) | 2477 Fm 1488 Rd Apt 227, Conroe, TX 77384-4946 | 2018-02-12 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1992190524 | Richard C Harris IIi | Podiatrist | 655 W 8th St # C126, Jacksonville, FL 32209 | 2015-03-31 |
| 1841680725 | Richard Harris | General Acute Care Hospital | 2245 26th St S, St Petersburg, FL 33712-3431 | 2015-01-29 |
| 1740687805 | Richard Alan Harris | Durable Medical Equipment & Medical Supplies | 1802 Lofty Maple Trl, Kingwood, TX 77345-1938 | 2014-12-04 |
| 1285937193 | Richard Carter Harris | Pharmacist | 128 Trillium Dr, Statesville, NC 28625-4564 | 2010-12-15 |
| 1851516280 | Richard B. Harris | Dentist | 7058 Fm 1960 Rd E, Humble, TX 77346-2704 | 2007-04-13 |
| 1528119724 | Richard Howard Harris | Dentist | 5054 W Atlantic Ave, Delray Beach, FL 33484-8129 | 2007-01-15 |
| 1255417424 | Richard Yard Harris | General Practice | 381 Rampart Range Rd, Woodland Park, CO 80863-2416 | 2006-10-31 |
| 1336223593 | Richard Satianty Harris | Family Medicine | Us Hwy 9 West, Carnegie Indian Health Clinic, Carnegie, OK 73015 | 2006-10-24 |
| Street Address |
501 W NORTH AVE STE 201 |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518459 | Melanie Anne Adamsky | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2013-06-14 |
| 1366736654 | Stephen David Hurley | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2011-06-03 |
| 1184899775 | Laurie Bachrach | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2008-04-24 |
| 1639124464 | Uropartners, LLC | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2006-05-23 |
| 1629027016 | Steven Bennett Dritz | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518459 | Melanie Anne Adamsky | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2013-06-14 |
| 1366736654 | Stephen David Hurley | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2011-06-03 |
| 1184899775 | Laurie Bachrach | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2008-04-24 |
| 1710015953 | Faramarz Eghrari | Urology | 1111 Superior St, Suite 409, Melrose Park, IL 60160-4138 | 2007-03-01 |
| 1548312192 | Faramarz Eghrari, Md | Urology | 1111 Superior St, Suite 409, Melrose Park, IL 60160-4138 | 2007-01-16 |
| 1639124464 | Uropartners, LLC | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2006-05-23 |
| 1629027016 | Steven Bennett Dritz | Urology | 501 W North Ave Ste 201, Melrose Park, IL 60160-1600 | 2006-05-10 |
| 1457309874 | Biswamay Ray | Urology | 1812 Broadway St, Suite 23, Melrose Park, IL 60160-2039 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.