Harrison Square
Harrison Square is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
605 S Wolcott Ave Ste 605Chicago, IL 60612
Phone: (312) 864-4649
Fax: (312) 864-9763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1841356516 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cook County |
| Authorized official | Scott Andrle — Director Of Managed Care Operations · (312) 864-4649 |
| Other names | Harrison Square; Harrison Square |
| NPI enumerated | December 28, 2006 |
| Last updated in NPPES | December 23, 2024 |
| Certification date | December 17, 2024 |
| Mailing address | 15900 South Cicero Ave., Oak Forest, IL 60452-4006 |
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