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HARRISON SQUARE FAO
NPI 1912063439
Family Medicine in Chicago, IL

Active since December 29, 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.

About Harrison Square Fao NPPES

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

HARRISON SQUARE FAO (NPI 1912063439) 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

NPI1912063439
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOOK COUNTY
Location Address605 S WOLCOTT AVE, SUITE 605Chicago, IL 60612
Mailing Address15900 South Cicero AvenueOak Forest, IL 60452-4000 · (708) 633-3400 · Fax (708) 633-3407
Phone(312) 864-4649
Fax(312) 864-9763
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateDecember 29, 2006
Last NPPES UpdateDecember 23, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1912063439 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 Fao

Other Identifiers 1

Other0048IL · Irf 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.

HARRISON SQUARE
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 Cook County's NPI number?

The NPI number for Cook County is 1912063439. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Harrison Square Fao.

Where is Cook County located?

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

What is Cook County'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 Cook County 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.