DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JACQUELINE LEE HARRISON M.D.

MEDICARE: DR. JACQUELINE LEE HARRISON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036-097361IL
2208C00000XColon & Rectal Surgery Physician036-097361IL

General Provider Information

NPI Number : 1215952536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE LEE HARRISON M.D.
Provider Business Mailing Address
First Line : 840 S WOOD ST
Second Line : DEPT. OF SURGERY - MC 958
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-9936
Fax Number : 312-355-3763
Provider Business Practice Location Address
First Line : 1969 W OGDEN AVE
Second Line : DEPT. OF SURGERY
City : CHICAGO
State : IL
Zip : 60612-3765
Country : US
Telephone Number : 312-996-9336
Fax Number : 312-355-3763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/26/2021

Similar Medicare Providers

1942884226 — ROBIN ANN SCHNEIDER DO
Practice Location Address:
1969 W OGDEN AVE
CHICAGO, IL
60612-3765
Practice Phone: 630-902-1228
Practice Fax:
1124759683 — EMIL BAFTIROVSKI MD
Practice Location Address:
1969 W OGDEN AVE
CHICAGO, IL
60612-3765
Practice Phone: 312-864-6000
Practice Fax:
1316893910 — KIAH EDWARDS
Practice Location Address:
1969 W OGDEN AVE
CHICAGO, IL
60612-3765
Practice Phone: 312-864-1000
Practice Fax:
1639025174 — PRISCA SEMAKO KLOTOE RN
Practice Location Address:
1969 W OGDEN AVE
CHICAGO, IL
60612-3765
Practice Phone: 312-864-6000
Practice Fax:
1912022450 — OLLIE ROGERS
Practice Location Address:
1969 W OGDEN AVE
CHICAGO, IL
60612-3765
Practice Phone: 312-864-0200
Practice Fax: 484-351-3800
1114137163 — MOLLY OLDER LCSW
Practice Location Address:
1969 W OGDEN AVE , ROOM 1698
CHICAGO, IL
60612-3765
Practice Phone: 312-864-2404
Practice Fax: 312-864-9238

Directions to “ DR. JACQUELINE LEE HARRISON M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.