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OAKTON MEDICAL ASSOCIATES INC NPI 1104015890


NPI Information

NPI: 1104015890
Provider Name: OAKTON MEDICAL ASSOCIATES INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D0966118

Address:
1300 GREENBROOK BLVD
SUITE 204
HANOVER PARK, IL
ZIP 60133
Phone: (630) 830-8100
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OAKTON MEDICAL ASSOCIATES INC is an internal medicine in Hanover Park, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OAKTON MEDICAL ASSOCIATES INC NPI is 1104015890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 GREENBROOK BLVD
SUITE 204
HANOVER PARK, IL
ZIP 60133-459
Phone: (630) 830-8100
Fax: (630) 830-8081

The provider's authorized official is Paresh A Patel .
The authorized official title is President and has the following contact phone number (630) 567-1876.

The CLIA number assigned to this NPI record is 14D0966118 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2007 and was last updated on 6/29/2010.


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 Medicine036116583ILLINOISNo
2207R00000XInternal Medicine036090908ILLINOISYes

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
1558760MEDICARE PINILLINOIS
2=========-60018-01MEDICAIDILLINOIS
3G28398MEDICARE UPINILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.