Oak Lawn Endoscopy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002603 Issued in IL

Legal business name

OAK LAWN ENDOSCOPY LLC

Practice address

9921 Southwest Highway
Oak Lawn, IL 60453

Phone

(708) 425-2552

NPI assigned

Oct 4, 2006

Last updated

Oct 3, 2011By 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

Thomas Arndt, MD

Title

Chief Financial Officer

Phone

(708) 425-9456

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jeffrey H Port, M.D.

  • Gastroenterology Physician
  • Oak Lawn, IL
  • NPI 1285635987
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1023103769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 SOUTHWEST HIGHWAY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 SOUTHWEST HIGHWAY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "708-425-9456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "50226",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Lawn Comm HS Dist 229
• Oak Lawn Dental Associates PC
• Oak Lawn Dental Care, PC
• Oak Lawn Dental Group, P.C.
• Oak Lawn East Skilled Nursing Facility LLC (Warren Barr Oak Lawn)
• Oak Lawn Foot & Ankle Center, P.C.
• Oak Lawn Health Mart Pharmacy Inc (Oak Lawn Health Mart Pharmacy)
• Oak Lawn Hometown SCH Dist 123
• Oak Lawn Il Endoscopy ASC LLC
• Oak Lawn Immediate Care LLC

• Ambulatory Surgical Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.