Organization Active NPI

Oak Brook Center for Health Inc

  • Gynecology Physician
  • Oak Brook, IL
National Provider Identifier
1215049838
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
R355-1014-7206 Issued in IL
Legal business name
OAK BROOK CENTER FOR HEALTH INC
Practice address
2425 W 22ND St
Ste 215
Oak Brook, IL 60523-4661
Phone
(630) 581-5464
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Kianoosh Jafari, M.D.
Title
Medical Director
Phone
(630) 990-2212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X R355-1014-7206 IL Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 016004441 IL

Addresses

Primary practice location

2425 W 22ND St
Ste 215
Oak Brook, IL 60523-4661

Mailing address

2425 W 22ND St
Suite 100
Oak Brook, IL 60523-4641
Phone (630) 990-2212

Other names 1

  • DuPage Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Ste A3300
Chicago, IL 60640
Phone (312) 738-0055

4111 W 26th St
Chicago, IL 60623
Phone (773) 542-1111

Bank One
Dept 779231
Chicago, IL 60678

2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333

2425 W 22nd St
Ste 100
Oak Brook, IL 60523
Phone (630) 990-2212

2605 W 22nd St
Ste 34
Oak Brook, IL 60523
Phone (630) 928-1048

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1215049838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "SUITE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234641",
            "telephone_number": "630-990-2212",
            "fax_number": "630-990-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST",
            "address_2": "STE 215",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234661",
            "telephone_number": "630-581-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK CENTER FOR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-990-2212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "R355-1014-7206",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.