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OAKBROOK PRIMARY CARE NPI 1871873885


NPI Information

NPI: 1871873885
Provider Name: OAKBROOK PRIMARY CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
17 WEST 755 BUTTERFIELD ROAD
SUITE NO 103
OAKBROOK TERRACE, IL
ZIP 60181
Phone: (630) 889-8922
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OAKBROOK PRIMARY CARE is a family medicine in Oakbrook Terrace, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OAKBROOK PRIMARY CARE NPI is 1871873885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 WEST 755 BUTTERFIELD ROAD
SUITE NO 103
OAKBROOK TERRACE, IL
ZIP 60181-253
Phone: (630) 889-8922

The provider's authorized official is Dina Desai .
The authorized official title is M.d./owner and has the following contact phone number (630) 889-8922.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 8/22/2011.


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
1207Q00000XFamily Medicine036085129ILLINOISYes

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
1F55713MEDICARE UPINILLINOIS
2326640MEDICARE PINILLINOIS
3036085129MEDICAIDILLINOIS

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: 5/5/2024

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