| Dr Charles R Harris, MD | |
|
12230 Cashlenan Ln, New Lenox, IL 60451-2799 | |
| (815) 463-8994 | |
| (815) 463-8946 |
| Full Name | Dr Charles R Harris |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 12230 Cashlenan Ln, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508979758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (Illinois) | Primary |
| Entity Name | Foundation For Outreach Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316350242 PECOS PAC ID: 3375507163 Enrollment ID: O20041111001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Harris, MD 12230 Cashlenan Lane, New Lenox, IL 60451 Ph: (815) 463-8994 | Dr Charles R Harris, MD 12230 Cashlenan Ln, New Lenox, IL 60451-2799 Ph: (815) 463-8994 |
Arlene Angela Paden, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2081 Calistoga Dr, Suite 2s, New Lenox, IL 60451 Phone: 815-418-6070 Fax: 779-803-3119 | |
Dr. Johnny Lee Williamson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2081 Calistoga Dr, Suite 2s, New Lenox, IL 60451 Phone: 815-418-6070 Fax: 779-803-3119 | |
Bassel Kazkaz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1890 Silver Cross Blvd Ste 345, New Lenox, IL 60451 Phone: 630-933-4056 Fax: 630-933-4057 |