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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harrison Square Fao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,043

Medicare enrollment records show 1,043 clinicians reassign Medicare billing to Harrison Square Fao, which bills Medicare for the services they deliver. Of these, 184 practice at this address and 695 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 58

Internal Medicine128
Nurse Practitioner86
Pediatric Medicine80
Emergency Medicine77
Family Practice55
Diagnostic Radiology47
Clinical Social Worker46
General Surgery35
50 other specialties489

Nearest to this location (20)

See all 1,043
Internal Medicine
NPI 1669789020
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1770089609
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-5365
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1629249867
1901 W HARRISON ST RM 2533
Chicago, IL 60612
(312) 864-3826
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1306417431
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-0000
✔ PECOSSame address
Hospitalist
NPI 1629603139
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1679157275
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1013368612
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-7000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1144550088
1900 W HARRISON ST
Chicago, IL 60612
(312) 864-7215
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1447274279
1901 W HARRISON AVE STROGER HOSPITAL
Chicago, IL 60612
(312) 864-7312
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1245351824
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-5902
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1083238281
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1851441638
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-8038
✔ PECOSSame address
Infectious Disease
NPI 1083728398
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-4585
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1770891566
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730108952
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-3215
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811446669
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-1000
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1104840123
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-7268
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1194747667
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1194842005
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-2730
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1689785362
1901 W HARRISON ST
Chicago, IL 60612
(312) 864-6000
✔ PECOS✔ Accepts MedicareSame address
See all 1,043 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Cook County enrolled in Medicare?

Yes. Cook County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cook County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,043 clinicians in 58 Medicare specialties reassign their Medicare billing to Cook County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (128), Nurse Practitioner (86) and Pediatric Medicine (80). Of these, 184 practice at this address and 695 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 22 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.