Individual provider Active NPI

Anthony Nathaniel Harris, M.D., M.B.A., MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Chicago, IL
National Provider Identifier
1205095684
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
036132011 Issued in IL
Practice address
300 W Adams St Ste 835
Chicago, IL 60606-5182
Phone
(312) 762-2959
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 01072562A IN
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 036132011 IL Primary

Addresses

Primary practice location

300 W Adams St Ste 835
Chicago, IL 60606-5182

Mailing address

300 W Adams St Ste 835
Chicago, IL 60606-5182
Phone (312) 762-2959

Other practice location 1

5265 Commerce Blvd Ste D
Crown Point, IN 46307-5327
Phone (317) 340-6682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036132011ILMDPreventive Medicine/Occupational Environmental Medicine Physician
01072562AINMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bioliv LLC CurrentSince Jul 9, 2025 Accepting new patients
Hfit, LLC Current Accepting new patients
The Oms, LTD PastSince Oct 9, 2022 Accepting new patients

Locations

300 W Adams St
Ste 835
Chicago, IL 60606
Phone (312) 762-2959

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1205095684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 835",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065182",
            "telephone_number": "312-762-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 835",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065182",
            "telephone_number": "312-762-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5265 Commerce Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075327",
            "country_code": "US",
            "telephone_number": "317-340-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANTHONY",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IN",
            "license": "01072562A",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IL",
            "license": "036132011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.