Organization Active NPI

Oliver Drabkin M.D. S.C.

  • Medical Specialty Clinic/Center
  • Evergreen Park, IL
National Provider Identifier
1144400474
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
03642295 Issued in IL
Legal business name
OLIVER DRABKIN M.D. S.C.
Practice address
3900 W 95TH St
Evergreen Park, IL 60805-1922
Phone
(708) 423-7550
NPI assigned
Nov 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Authorized official

Name
Dr. Oliver Drabkin, M.D.
Title
President
Phone
(708) 423-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 03642295 IL Primary

Addresses

Primary practice location

3900 W 95TH St
Evergreen Park, IL 60805-1922

Mailing address

3900 W 95TH St
Evergreen Park, IL 60805-1922
Phone (708) 423-7550

National Provider Directory

National Provider Directory

Locations

2740 W Foster Ave
Ste 305
Chicago, IL 60625
Phone (708) 636-3767

Practitioners & affiliated clinicians

Practitioners 6

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": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1144400474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051922",
            "telephone_number": "708-423-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051922",
            "telephone_number": "708-423-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER DRABKIN M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "DRABKIN",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-423-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "03642295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; 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.