Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN S HARRIS, CRNA
ActiveETHAN S HARRIS, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LOVES PARK, Illinois. NPI 1629638788 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LOVES PARK, IL
Registration Details
- NPI Number
- 1629638788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2019 (7.136745358607 yrs)
- Last Updated
- Aug 12, 2019
- License
-
209019805 (IL)
Practice Information
- Address
-
2202 HARLEM RD STE 200LOVES PARK, IL, 611112754Browse IL providers · Browse ZIP 61111
- Phone
- 8158774848
- Fax
- 8156366125
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MISS JANE A. RICKMAN | CRNA | 1982609343 |
| SUZANNE STEIN | CRNA | 1356340608 |
| MR. ALI SAID NOUWAIRI | CRNA | 1568424505 |
| DARRYL J. PHIPPS | CRNA | 1720036882 |
| JONI D. SMITH | CRNA | 1417905308 |
| TAMELA A MOORE | — | 1902856081 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.