COOK COUNTY NPI 1912063439

NPI Information

  • NPI: 1912063439
  • Provider Name: COOK COUNTY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: HARRISON SQUARE FAO
  • Address: 605 S WOLCOTT AVE, SUITE 605
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 864-4649

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NPI Details

COOK COUNTY is a family medicine in Chicago, IL. The provider is 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. COOK COUNTY NPI is 1912063439. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Harrison Square Fao.

The provider's business location address is:

605 S WOLCOTT AVE, SUITE 605
CHICAGO, IL
ZIP 60612
Phone: (312) 864-4649
Fax: (312) 864-9763

The provider's authorized official is Scott Andrle .
The authorized official title is Director Of Managed Care Operations and has the following contact phone number (312) 864-4649.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========MEDICAIDILLINOIS
20048OTHERILLINOISIRF BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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