Organization Active NPI

O.O.N.Medical Group LTD

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1053086629
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
O.O.N.MEDICAL GROUP LTD
Practice address
1147 S Wabash Ave Ste 250B
Chicago, IL 60605-2355
Phone
(312) 987-4878
Fax
(239) 228-8640
NPI assigned
Aug 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Chanele Smith
Title
Office Manager
Phone
(239) 260-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1147 S Wabash Ave Ste 250B
Chicago, IL 60605-2355

Mailing address

1147 S Wabash Ave Ste 250B
Chicago, IL 60605-2355
Phone (312) 987-4878

National Provider Directory

National Provider Directory

Locations

1147 S Wabash Ave
Ste 250B
Chicago, IL 60605
Phone (312) 987-4878

Practitioners & affiliated clinicians

Practitioners 1

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": "1628985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1053086629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE STE 250B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052355",
            "telephone_number": "312-987-4878",
            "fax_number": "239-228-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE STE 250B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052355",
            "telephone_number": "312-987-4878",
            "fax_number": "239-228-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.O.N.MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-15",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHANELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-260-0530"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.