Active NPI
Drive Thru Clinic & Drive Thru Care, P.C.
- Primary Care Clinic/Center
- Orland Park, IL
National Provider Identifier
1154713568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 03608751
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.