Organization Active NPI

Woodlake Occupational Health LLC

Doing business as Woodlake Hospital LLC

  • Occupational Medicine Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1104699032
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
WOODLAKE OCCUPATIONAL HEALTH LLC
Doing business as
Woodlake Hospital LLC
Practice address
1111 Superior St Ste 506
Melrose Park, IL 60160-4156
Phone
(708) 919-9900
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Chaim Rottenberg
Title
Asset Manager
Phone
(347) 522-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

1111 Superior St Ste 506
Melrose Park, IL 60160-4156

Mailing address

150 Airport Rd Ste 900
Lakewood, NJ 08701-6988
Phone (516) 668-9675

Other names 1

  • Woodlake Hospital LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2246145Woodlake Occupational Health1111 Superior St - Ste 506, Melrose Park, IL 60160Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1104699032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AIRPORT RD STE 900",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016988",
            "telephone_number": "516-668-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 506",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604156",
            "telephone_number": "708-919-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE OCCUPATIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTTENBERG",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "ASSET MANAGER",
        "authorized_official_telephone_number": "347-522-5970"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Hospital LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.