HARRISON SQUARE – NPI #1841356516
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

HARRISON SQUARE is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1841356516 to HARRISON SQUARE on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Dec 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARRISON SQUARE below.

NPI Profile for
HARRISON SQUARE

NPI Number
1841356516
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARRISON SQUARE
Doing Business As (dba): HARRISON SQUARE
Primary location
605 S WOLCOTT AVE, SUITE 605
CHICAGO, IL 60612
Phone: (312) 864-4649 Fax: (312) 864-9763
Mailing address
15900 SOUTH CICERO AVE.
OAK FOREST, IL 60452-4006
Phone: (708) 633-3486 Fax: (708) 633-3449
Organization Subpart
Yes - HARRISON SQUARE is subpart of another organization.
Authorized Official
SCOTT ANDRLE
DIRECTOR OF MANAGED CARE OPERATIONS
Phone: (312) 864-4649
Updated
Certification Date
Dec 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HARRISON SQUARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSNF BCBSIL0048
medicaidIL=========
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.