Active NPI
Oliver Drabkin M.D. S.C.
- Medical Specialty Clinic/Center
- Evergreen Park, IL
National Provider Identifier
1144400474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 03642295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physician Assistant
- Orland Park, IL
- NPI 1205534674
-
- Physician Assistant
- Evergreen Park, IL
- NPI 1801301494
-
- Physician Assistant
- Orland Park, IL
- NPI 1518461797
-
- Physician Assistant
- Orland Park, IL
- NPI 1265262455
-
- Dermatology Physician
- Orland Park, IL
- NPI 1598152324
-
- Dermatology Physician
- Orland Park, IL
- NPI 1104037886
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.