SOLID ROCK CARE CENTER II NPI 1780877993

NPI Information

  • NPI: 1780877993
  • Provider Name: SOLID ROCK CARE CENTER II
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 228 MADISON ST
    OAK PARK, IL
    ZIP 60302
  • Phone: (708) 358-8040

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NPI Details

SOLID ROCK CARE CENTER II is a general practice in Oak Park, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOLID ROCK CARE CENTER II NPI is 1780877993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

228 MADISON ST
OAK PARK, IL
ZIP 60302-194
Phone: (708) 358-8040
Fax: (708) 358-8049

The provider's authorized official is Larry Smith .
The authorized official title is Ceo and has the following contact phone number (708) 358-8040.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/13/2008.

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
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211006MEDICARE PINILLINOIS
26030201MEDICAIDILLINOIS
3=========6030201MEDICAIDILLINOIS

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: 11/21/2025

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