Rebecca Harris, M.D.
Individual provider Active NPI Internal Medicine Physician · Riverside, IL
NPI 1356723969 · NPPES record last updated Apr 26, 2021
Key facts
- NPI
- 1356723969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125067210 (IL)
- Practice address
- 3722 S Harlem Ave Ste LL34
Riverside, IL 60546 - Phone
- (708) 783-6566
- Fax
- (708) 783-6567
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125067210 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- rebecca.harris@direct.ccprovider.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125067210 | IL | Yes |
Addresses
Primary practice location
3722 S Harlem Ave Ste LL34
Riverside, IL 60546
Mailing address
3722 S Harlem Ave Ste LL34
Riverside, IL 60546-2320
Phone (708) 783-6566
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.harris@direct.ccprovider.org | Direct | Cook County |
Other providers in Riverside, IL
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- Girija Gullapalli
- Anshika Gupta
- Michael T Haderspeck
- Heather Holzhauser, LCSW PLLC
- Lauren E Heilbrunn
- Margaret Hejna
- Michael J Hejna
- Jenae Angelle Henao
All providers in Riverside, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.