Great Oaks Medical Care SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036109590 Issued in IL

Legal business name

GREAT OAKS MEDICAL CARE SC

Practice address

2425 W 22ND St
Suite 206
Oak Brook, IL 60523-1245

Phone

(630) 335-6228

Fax

(630) 990-2998

NPI assigned

Jun 20, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duane Lambert, MD

Title

Owner

Phone

(630) 335-6228

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara C Kopchak

  • Nurse Practitioner
  • Carol Stream, IL
  • NPI 1235126269
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1003851122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 206",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231245",
            "telephone_number": "630-335-6228",
            "fax_number": "630-990-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 206",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231245",
            "telephone_number": "630-335-6228",
            "fax_number": "630-990-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT OAKS MEDICAL CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-335-6228",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036109590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Grandstaff, L.C.P.C.
• Kim Delayne Grant
• Myra Grant
• Jennifer M Gray, AAS
• Tynaya N Gray, LPN
• Matthew Ryan Greenberg, D.C.
• James William Griesbach, DDS
• Kathleen Griffin, LCPC
• Katharine M Grinnell-Noak, PSY.D.
• Gina D Gruendeman-Gordon, DDS

• Specialist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.