Organization Active NPI

Our Family Therapy, LLC

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1154891109
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OUR FAMILY THERAPY, LLC
Practice address
1010 Lake Street
Ste 614
Oak Park, IL 60301
Phone
(708) 657-7527
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Isaac Lopez, LCSW
Title
Owner
Phone
(708) 657-7527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1010 Lake Street
Ste 614
Oak Park, IL 60301

Mailing address

1010 Lake Street
Ste 614
Oak Park, IL 60301
Phone (708) 657-7527

National Provider Directory

National Provider Directory

Locations

1010 Lake St
Ste 614
Oak Park, IL 60301
Phone (708) 613-0344

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1154891109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE STREET",
            "address_2": "STE 614",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-657-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE STREET",
            "address_2": "STE 614",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-657-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-657-7527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.