NPIMap

Organization Active NPI

Rush Oak Park Physicians Group North Riverside

  • Internal Medicine Physician
  • North Riverside, IL
National Provider Identifier
1003186255
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RUSH OAK PARK PHYSICIANS GROUP NORTH RIVERSIDE
Practice address
7222 W Cermak Rd
Suite 700
North Riverside, IL 60546-1422
Phone
(708) 660-6400
NPI assigned
Jan 5, 2012
Organization subpart
Yes
Parent organization
RUSH MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Scott A Halper
Title
Authorized Official
Phone
(312) 942-7770

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

7222 W Cermak Rd
Suite 700
North Riverside, IL 60546-1422

Mailing address

7222 W Cermak Rd
Suite 700
North Riverside, IL 60546-1422
Phone (708) 660-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000616 IL Part B Supplier - Clinic/Group Practice 9931363710 Receives reassigned benefits from 11 practitioners
Practice locations: Berwyn, IL; Westmont, IL; Westchester, IL; Oak Park, IL; North Riverside, IL; Melrose Park, IL; La Grange, IL; Forest Park, IL…

National Provider Directory

National Provider Directory
Part of
Rush Medical Group

Locations

7734 W North Ave
Elmwood Park, IL 60707
Phone (708) 456-6611

520 S Maple Ave
Fl 3
Oak Park, IL 60304
Phone (708) 660-5900

7222 W Cermak Rd
Ste 7
Riverside, IL 60546

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1003186255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "address_2": "SUITE 700",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-660-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD",
            "address_2": "SUITE 700",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461422",
            "telephone_number": "708-660-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OAK PARK PHYSICIANS GROUP NORTH RIVERSIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH MEDICAL GROUP",
        "enumeration_date": "2012-01-05",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HALPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-7770"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.