Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenique Harris

Individual provider Licensed Practical Nurse · NPI 1720820962

Brenique Harris is a Licensed Practical Nurse in Kankakee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

405 S Wildwood Ave
Kankakee, IL 60901-5362
Phone: (815) 954-9746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.033023 (IL)

Record details

NPI number1720820962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateMay 29, 2024
Mailing address405 S Wildwood Ave, Kankakee, IL 60901-5362