Cook County

Family Medicine · Chicago, IL

Call (312) 864-6126 Directions

At a glance

1901 W Harrison St, Chicago, IL 60612-3714

NPPES record updated Mar 2, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1901 W Harrison St
Chicago, IL 60612-3714
Professional details: NPI, taxonomy & registry record
NPI1790316784
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Registry details

Primary taxonomy
Family Medicine
Taxonomy code
207Q00000X
Enumeration date
Jan 29, 2020
Record updated
Mar 2, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1901 W Harrison St
Chicago, IL 60612-3714
Phone
(312) 864-6126
Mailing address
1900 W POLK ST RM 220C

CHICAGO, IL 606123723
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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