Organization Active NPI

Oscar a. Novick, M.D., P.C.

  • Pediatrics Physician
  • Park Ridge, IL
National Provider Identifier
1124280102
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036040048 Issued in IL
Legal business name
OSCAR A. NOVICK, M.D., P.C.
Practice address
111 S Washington Ave
Suite 201
Park Ridge, IL 60068-4203
Phone
(847) 825-7171
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Ms. Janet S. Mallory
Title
Asst. Office Manager
Phone
(847) 825-7171

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 036040048 IL
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X 036040048 IL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 036040048 IL Primary
Pediatric Allergy/Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0201X 036040048 IL

Addresses

Primary practice location

111 S Washington Ave
Suite 201
Park Ridge, IL 60068-4203

Mailing address

111 S Washington Ave
Park Ridge, IL 60068-4203
Phone (847) 825-7171

Other identifiers 1

IdentifierTypeStateIssuer
1568461796OtherILNPI

National Provider Directory

National Provider Directory

Locations

111 S Washington Ave
Park Ridge, IL 60068
Phone (312) 825-7171

111 S Washington Ave
Ste 201
Park Ridge, IL 60068
Phone (847) 825-7171

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1124280102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684203",
            "telephone_number": "847-825-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE",
            "address_2": "SUITE 201",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684203",
            "telephone_number": "847-825-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR A. NOVICK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASST. OFFICE MANAGER",
        "authorized_official_telephone_number": "847-825-7171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036040048",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "036040048",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036040048",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "IL",
            "license": "036040048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568461796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.