OAK STREET HEALTH PORTAGE PARK NPI 1144660085

NPI Information

NPI: 1144660085
Provider Name: OAK STREET HEALTH PORTAGE PARK
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2060117

Address:
4848 W IRVING PARK RD
CHICAGO, IL
ZIP 60641
Phone: (312) 810-0763
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OAK STREET HEALTH PORTAGE PARK is a primary care clinic center in Chicago, IL. OAK STREET HEALTH PORTAGE PARK NPI is 1144660085. The provider is registered as an organization entity type.

The provider's business location address is:

4848 W IRVING PARK RD
CHICAGO, IL
ZIP 60641-718
Phone: (312) 810-0763

The provider's authorized official is Griffin Myers .
The authorized official title is Chief Medical Officer and has the following contact phone number (773) 412-3000.

The CLIA number assigned to this NPI record is 14D2060117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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