PCMC East

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PCMC EAST

Practice address

5320 159TH St
Suite 400
Oak Forest, IL 60452-4705

Phone

(708) 798-8112

Fax

(708) 535-6396

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Robyn C Lee-Smith

Title

Credentialing Specialist

Phone

(708) 798-8112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1124371133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCMC EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "LEE-SMITH",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "708-798-8112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Palmer, ED.S., NCSP
• Carly Rae Paragas, DDS
• Wanda Parker, MA, CADC, LCPC
• Olivia Esther Patch, M.D.
• Usha Patel, R.N.
• Perpetual Home Health, Inc.
• Sherry Ann Petro, L.C.S.W.
• Physicians Community Medical Center
• Physicians Community Medical Center North, S.C.
• Physicians Community Medical Center Oak Forest, S.C.

• Family Medicine Physician in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.