Active NPI
Oliver H Drabkin, M.D.
- Dermatology Physician
- Evergreen Park, IL
National Provider Identifier
1225060601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 36-42295
- Practice address
- 3900 W 95TH St
Ste 12
Evergreen Park, IL 60805-1922 - Phone
- (708) 423-7550
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 36-42295 | IL | Primary |
Addresses
Primary practice location
3900 W 95TH St
Ste 12
Evergreen Park, IL 60805-1922
Mailing address
3900 W 95TH St
Ste 12
Evergreen Park, IL 60805-1922
Phone (708) 423-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-42295 | IL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225060601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W 95TH ST",
"address_2": "STE 12",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608051922",
"telephone_number": "708-423-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W 95TH ST",
"address_2": "STE 12",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608051922",
"telephone_number": "708-423-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRABKIN",
"first_name": "OLIVER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "36-42295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.