Organization Active NPI

Oakton Medical Associates Inc

  • Internal Medicine Physician
  • Hanover Park, IL
National Provider Identifier
1104015890
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090908 Issued in IL
Legal business name
OAKTON MEDICAL ASSOCIATES INC
Practice address
1300 Greenbrook Blvd Ste 204
Hanover Park, IL 60133-5456
Phone
(630) 830-8100
Fax
(630) 830-8081
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Paresh A Patel, MDNPI 1780668244
Title
Authorized Official
Phone
(630) 953-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036116583 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036090908 IL Primary

Addresses

Primary practice location

1300 Greenbrook Blvd Ste 204
Hanover Park, IL 60133-5456

Mailing address

1300 Greenbrook Blvd Ste 204
Hanover Park, IL 60133-5456
Phone (630) 830-8100

Other practice location 1

1400 E Golf Rd Ste 117
Des Plaines, IL 60016-1252
Phone (847) 635-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090625000198 IL Part B Supplier - Clinic/Group Practice 9234280652 Receives reassigned benefits from 2 practitioners
Practice locations: Elk Grove Village, IL; Des Plaines, IL; Hanover Park, IL

National Provider Directory

National Provider Directory

Locations

900 W Central Rd
Arlington Heights, IL 60005
Phone (847) 618-3550

1300 Greenbrook Blvd
Ste 204
Hanover Park, IL 60133
Phone (630) 830-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1104015890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GREENBROOK BLVD STE 204",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335456",
            "telephone_number": "630-830-8100",
            "fax_number": "630-830-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GREENBROOK BLVD STE 204",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335456",
            "telephone_number": "630-830-8100",
            "fax_number": "630-830-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Golf Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161252",
            "country_code": "US",
            "telephone_number": "847-635-5300",
            "fax_number": "847-813-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKTON MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-953-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036116583",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.