Individual provider Active NPI

Christine Charlene Harris, FNP-BC

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1982253670
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019584 Issued in IL
Practice address
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone
(773) 968-6253
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4008566 KY
Family Nurse Practitioner 363LF0000X 10047951 OR
Family Nurse Practitioner 363LF0000X 209019584 IL Primary
Family Nurse Practitioner 363LF0000X 14092-33 WI
Family Nurse Practitioner 363LF0000X 14235306-4405 UT
Family Nurse Practitioner 363LF0000X 10540 MN
Family Nurse Practitioner 363LF0000X 114637 NE
Family Nurse Practitioner 363LF0000X R54645 ND
Family Nurse Practitioner 363LF0000X 14-159208-011 KS
Family Nurse Practitioner 363LF0000X 224725 AR
Family Nurse Practitioner 363LF0000X 2025034368 MO
Family Nurse Practitioner 363LF0000X A174959 IA
Family Nurse Practitioner 363LF0000X CP002822 SD

Addresses

Primary practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

11114 S Harlem Ave
Worth, IL 60482-3554
Phone (224) 607-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191106001942 IL Practitioner - Nurse Practitioner 7719219096 Reassigns benefits to 4 organizations
I20250529002876 MN Practitioner - Nurse Practitioner 7719219096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care North, LLCGroup PAC ID 1254762297, 15 clinicians
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224725ARMDFamily Nurse Practitioner
A174959IAMDFamily Nurse Practitioner
209019584ILMDFamily Nurse Practitioner
14-159208-011KSMDFamily Nurse Practitioner
4008566KYMDFamily Nurse Practitioner
2025034368MOMDFamily Nurse Practitioner
R54645NDMDFamily Nurse Practitioner
114637NEMDFamily Nurse Practitioner
10047951ORMDFamily Nurse Practitioner
CP002822SDMDFamily Nurse Practitioner
14235306-4405UTMDFamily Nurse Practitioner
14092-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Oct 4, 2023 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Mar 7, 2025 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Apr 10, 2025 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

1154 S Clark St
Chicago, IL 60605
Phone (312) 212-6300

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107

14701 Pulaski Rd
Midlothian, IL 60445
Phone (708) 239-2150

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

Interoperability endpoints

  • Direct secure messaging: christine.harris@398008301912068.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1982253670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604823554",
            "telephone_number": "224-607-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "773-968-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHRISTINE",
        "middle_name": "CHARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4008566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10047951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019584",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14092-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14235306-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R54645",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "14-159208-011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "224725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025034368",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A174959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.