| NPI | 1912063439 |
|---|---|
| Doing Business As | HARRISON SQUARE FAO |
| Entity Type | Organization |
| Authorized Contact | SCOTT ANDRLE Director Of Managed Care Operations 312-864-4649 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-12-23 |