Active NPI
Kathryn Vanbuskirk, D.O.
- Family Medicine Physician
- Oak Park, IL
National Provider Identifier
1073045266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036153029
- Practice address
- 1010 Lake St Ste 301
Oak Park, IL 60301-1133 - Phone
- (708) 524-8600
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036153029 | IL | Primary |
Addresses
Primary practice location
1010 Lake St Ste 301
Oak Park, IL 60301-1133
Mailing address
1010 Lake St Ste 301
Oak Park, IL 60301-1133
Phone (330) 904-4138
Other names 1
- Kathryn Vanbuskirk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153029 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Street Family Physicians SC Inc | Family Medicine | Current | Accepting new patients |
| Rush University Medical Group | Family Medicine | Past | Accepting new patients |
Locations
1010 Lake St
Ste 301
Oak Park, IL 60301
Phone (708) 524-8600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFAFDD
- kvanbuskirk169750@direct.rush.rush-health.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Oak Park, IL
- NPI 1841363850
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1073045266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 301",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011133",
"telephone_number": "330-904-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 301",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011133",
"telephone_number": "708-524-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBUSKIRK",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036153029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "VANBUSKIRK",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.