Organization Active NPI

Drive Thru Clinic & Drive Thru Care, P.C.

  • Primary Care Clinic/Center
  • Orland Park, IL
National Provider Identifier
1154713568
Registry record updated Feb 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03608751 Issued in IL
Legal business name
DRIVE THRU CLINIC & DRIVE THRU CARE, P.C.
Practice address
54 Orland Square Dr
Orland Park, IL 60462-3207
Phone
(708) 857-7777
Fax
(708) 857-7778
NPI assigned
Feb 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2015

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

Authorized official

Name
Dr. Waldemar M Nowak, M.D.
Title
President
Phone
(708) 857-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03608751 IL Primary

Addresses

Primary practice location

54 Orland Square Dr
Orland Park, IL 60462-3207

Mailing address

54 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 857-7777

National Provider Directory

National Provider Directory

Locations

54 Orland Square Dr
Orland Park, IL 60462
Phone (319) 594-5748

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424563200000",
    "number": "1154713568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-857-7777",
            "fax_number": "708-857-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-857-7777",
            "fax_number": "708-857-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVE THRU CLINIC & DRIVE THRU CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-857-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "03608751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.