NPIMap

Organization Active NPI

The West Cook Ymcas Inc

  • Health Educator
  • Oak Park, IL
National Provider Identifier
1174078158
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE WEST COOK YMCAS INC
Practice address
255 S Marion St
Oak Park, IL 60302-3103
Phone
(773) 383-5200
Fax
(708) 383-0016
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Phillip Jimenez
Title
President & Ceo
Phone
(708) 383-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

255 S Marion St
Oak Park, IL 60302-3103

Mailing address

255 S Marion St
Oak Park, IL 60302-3103
Phone (708) 383-5200

National Provider Directory

National Provider Directory

Locations

255 S Marion St
Oak Park, IL 60302
Phone (708) 383-5200

Practitioners & affiliated clinicians

Practitioners 12

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1174078158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023103",
            "telephone_number": "708-383-5200",
            "fax_number": "708-383-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023103",
            "telephone_number": "773-383-5200",
            "fax_number": "708-383-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEST COOK YMCAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "708-383-5200"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "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 Jun 2, 2021; 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.