NPIMap

Organization Active NPI

Oak Lawn Immediate Care LLC

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1083905582
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAK LAWN IMMEDIATE CARE LLC
Practice address
4201 W 95TH St
Oak Lawn, IL 60453-2615
Phone
(773) 754-3500
Fax
(773) 754-3504
NPI assigned
May 2, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Jerzy Szymanksi, MD
Title
Member
Phone
(708) 499-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4201 W 95TH St
Oak Lawn, IL 60453-2615

Mailing address

4201 W 95TH St
Oak Lawn, IL 60453-2615
Phone (708) 499-7661

National Provider Directory

National Provider Directory
Tax ID family
Oak Lawn Immediate Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1083905582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "708-499-7661",
            "fax_number": "773-754-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "773-754-3500",
            "fax_number": "773-754-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SZYMANKSI",
        "authorized_official_first_name": "JERZY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-499-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.