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General NPI Number Information
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NPI Number | 1689319873
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Entity Type | Individual
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Provider Name | ANDREW HARRISON BANK MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4709 GOLF RD STE 900
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City | SKOKIE
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State | IL
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Zip | 60076-1244
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Country | US
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Telephone | 773-702-6435
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Fax | 773-834-0748
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Provider Business Mailing Address
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Address Line | 4709 GOLF RD STE 900
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City | SKOKIE
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State | IL
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Zip | 60076-1244
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Country | US
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Telephone | 847-676-5394
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036175478
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License Number State | IL
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