Streeterville Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036113766 Issued in IL

Legal business name

STREETERVILLE INTERNAL MEDICINE, PLLC

Doing business as

Rachel O'Mara, MD, PLLC

Practice address

676 N Saint Clair St Ste 1740
Chicago, IL 60611-2963

Phone

(312) 926-0444

Fax

(312) 926-0444

NPI assigned

Dec 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Anne O'Mara, MDNPI 1891701702

Title

Owner

Phone

(312) 926-0444

Specialties & licenses 1

Addresses

Other names 1

• Rachel O'Mara, MD, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Anne O'Mara, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891701702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1205139730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112963",
            "telephone_number": "312-926-0444",
            "fax_number": "312-926-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112963",
            "telephone_number": "312-926-0444",
            "fax_number": "312-926-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETERVILLE INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-05",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "O'MARA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-926-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachel O'Mara, MD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peyton Street
• Rhay Elliott Street, D.D.S.
• Cynthia Streeter
• Hannah Streeter, CF-SLP
• Streeterville Dental, PC
• Streeterville Open MRI, LLC
• Streeterville Pediatrics, S.C.
• Streeterville Psychotherapy Van Alphen & Thames
• Sarah C Strehlau, PT, DPT, WCS
• Jennifer Streicher, LCSW

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.