Individual provider Active NPI

James Michael Harazin, DO

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1255410072
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036071139 Issued in IL
Practice address
6084 S Archer Ave
Chicago, IL 60638-2747
Phone
(773) 355-2800
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036071139 IL Primary

Addresses

Primary practice location

6084 S Archer Ave
Chicago, IL 60638-2747

Mailing address

6084 S Archer Ave
Chicago, IL 60638-2747
Phone (773) 355-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000198 IL Practitioner - Family Practice 3173649324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

1415 W 47TH St
La Grange, IL 60525-6136
Phone (708) 579-9375

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Medpro Health Providers Home health agency, Tinley Park, IL, CCN 148246
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

6084 S Archer Ave
Chicago, IL 60638
Phone (708) 442-0221

1415 W 47th St
Ste 1
Lagrange Hlds, IL 60525

1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

Interoperability endpoints

  • Direct secure messaging: jharazin1240293@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1255410072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382747",
            "telephone_number": "773-355-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382747",
            "telephone_number": "773-355-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAZIN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036071139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.