Provider Demographics
NPI:1043986185
Name:HARRIS, ANNE (NP)
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ANNE
Other - Middle Name:HARRIS
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:107 LILAC LN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1847
Mailing Address - Country:US
Mailing Address - Phone:847-732-3733
Mailing Address - Fax:
Practice Address - Street 1:900 TECHNOLOGY WAY STE 120
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5364
Practice Address - Country:US
Practice Address - Phone:847-881-3750
Practice Address - Fax:847-231-4722
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209020218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily