Oakside Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OAKSIDE CORPORATION

Practice address

44 Meadowview Ctr
Kankakee, IL 60901-2041

Phone

(815) 933-5187

Fax

(815) 935-7486

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Justin Caldwell

Title

Director of Retail

Phone

(815) 933-1671

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Health Equipment Doing business as

Locations

Practitioners 1

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

• Kathryn Bauer, PHARMD

  • Pharmacist
  • Kankakee, IL
  • NPI 1205181831
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1083626311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MEADOWVIEW CTR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012041",
            "telephone_number": "815-933-5187",
            "fax_number": "815-935-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MEADOWVIEW CTR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012041",
            "telephone_number": "815-933-5187",
            "fax_number": "815-935-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKSIDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF RETAIL",
        "authorized_official_telephone_number": "815-933-1671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4670322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Health Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Njoroge, DO
• Novus Illinois Service Corporation
• Danielle D Nunley, PHARMD
• Nushape Illinois Inc.
• Phillip Michael O'Connor, M.D.
• Oakside Corporation
• Michael C Olimene, PHARM D
• Brian Patrick Olofsson, MD
• Cheryl Ann Olofsson, RN
• John Andrew Olson, PT, DPT

• Durable Medical Equipment & Medical Supplies in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.