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HARRISON SQUARE
NPI 1841356516
Family Medicine in Chicago, IL

Active since December 28, 2006
605 S WOLCOTT AVE, SUITE 605, CHICAGO, IL 60612(312) 864-4649(312) 864-9763 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Harrison Square NPPES

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

HARRISON SQUARE (NPI 1841356516) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1841356516
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARRISON SQUARE
Location Address605 S WOLCOTT AVE, SUITE 605Chicago, IL 60612
Mailing Address15900 South Cicero Ave.Oak Forest, IL 60452-4006 · (708) 633-3486 · Fax (708) 633-3449
Phone(312) 864-4649
Fax(312) 864-9763
Organization SubpartYesParent: Cook County
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1841356516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
605 S WOLCOTT AVE, SUITE 605, Chicago, IL 60612
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Other Names 1

Doing Business AsHarrison Square

Other Identifiers 1

Other0048IL · Snf Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

COOK COUNTY
Family Medicine
605 S WOLCOTT AVE, SUITE 605
CHICAGO, IL 60612
Cook County (312) 864-4649

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 Harrison Square's NPI number?

The NPI number for Harrison Square is 1841356516. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Harrison Square located?

Harrison Square is located at 605 S Wolcott Ave, Suite 605, Chicago, IL 60612. The listed phone number is (312) 864-4649.

What is Harrison Square's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Harrison Square was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.