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ANTIONETTA HARRIS CADC
NPI 1689962052
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since July 19, 2011
4740 N CLARK ST, CHICAGO, IL 60640(773) 769-0205(773) 765-0842 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antionetta Harris Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIONETTA HARRIS CADC (NPI 1689962052) is an individual addiction (substance use disorder) provider in Chicago, Illinois, licensed in Illinois (13390) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1689962052
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANTIONETTA HARRISCredential: CADC
Location Address4740 N CLARK STChicago, IL 60640-4689
Mailing Address4740 N Clark StChicago, IL 60640-4689 · (773) 769-0205 · Fax (773) 765-0842
Phone(773) 769-0205
Fax(773) 765-0842
Sole ProprietorNo
Enumeration DateJuly 19, 2011
✔ NPI 1689962052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 13390
4740 N CLARK ST, Chicago, IL 60640
Open in Google Maps ↗

Other Identifiers 1

Other1616824IL · Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERBERT T COBBS CADC
Counselor (Addiction (Substance Use Disorder))
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 769-0205
TIMOTHY FELTMAN
Social Worker (Clinical)
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (872) 235-0182
MRS. NATALIE GALARZA LCSW
Social Worker (Clinical)
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 769-0205
CANDICE BLOCK
Counselor (Mental Health)
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (262) 957-7281
COMMUNITY COUNSELING CENTERS OF CHICAGO
Clinic/Center (Mental Health (Including Community Mental Health Center))
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 769-0205
MICHELLE L JOHNSON LCPC
Counselor (Professional)
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (872) 235-0826
JAMES A CAMPBELL CADC
Counselor (Addiction (Substance Use Disorder))
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 769-0205
MONICA SADE MITCHELL
Counselor (Professional)
4740 N CLARK ST
CHICAGO, IL 60640
Cook County (773) 769-0205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antionetta Harris's NPI number?

The NPI number for Antionetta Harris is 1689962052. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Antionetta Harris located?

Antionetta Harris practices at 4740 N Clark St, Chicago, IL 60640. The listed phone number is (773) 769-0205.

What is Antionetta Harris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Antionetta Harris was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.