DR. MARTIN W HARRISON


Address: 1318 W Catalpa Ave, Chicago, IL 60640-1317
Phone: 3129726070

DR. MARTIN W HARRISON (NPI# 1114299476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114299476
Entity Type Individual
Full Name DR. MARTIN W HARRISON
Credential MD
Practice Address 1318 W Catalpa Ave
Chicago
IL 60640-1317
Practice Telephone 3129726070
Mailing Telephone 3129726070
Enumeration Date 2012-02-02
Last Update Date 2012-02-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
ME56720 FL Allopathic & Osteopathic Physicians
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
036123771 IL Allopathic & Osteopathic Physicians

Other Providers MARTIN HARRISON

NPI Name Taxonomy Address Enumeration
1114902897 Martin Harrison Anesthesiology 1819 Denver West Dr, Suite 200, Golden, CO 80401-3118 2005-12-14

Office Location

Street Address 1318 W CATALPA AVE
City CHICAGO
State IL
Zip Code 60640-1317

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1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
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1184144081 Ellie Navidson Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457776361 Caroline Marie Jung Preventive Medicine 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 2014-02-28
1568690899 Sargon Audisho Preventive Medicine 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 2009-06-25
1194910125 Chicago Dept of Public Health Preventive Medicine 2849 N Clark St, Lakeview N H C, Chicago, IL 60657 2007-09-12
1508071010 Violeta P Dulanas Preventive Medicine 4958 W Madison St, Chicago, IL 60644-3541 2007-05-10
1073727400 Lourdes Mella Hilao Preventive Medicine 4243 W Fullerton Ave, Chicago, IL 60639-2049 2007-05-08
1518021153 Westside C.d.c Preventive Medicine 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 2006-12-20
1821159625 31st Std Clinic Preventive Medicine 530 E 31st St, Std 31st Street Clinic, Chicago, IL 60616-4008 2006-12-13
1699196980 Arlene Hankinson Preventive Medicine 333 S State St Ste 200, Chicago, IL 60604-3946 2014-01-03
1528321254 Juleigh Marie Nowinski Konchak Preventive Medicine 1015 W Lawrence Ave, Chicago, IL 60640-5017 2012-06-18
1255637500 Paul Eldon Savage Preventive Medicine 150 E Huron St, Suite 802, Chicago, IL 60611-2999 2011-02-03
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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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