Earl Philip Ow, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

036050398 Issued in IL

Practice address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Phone

(708) 684-5580

Fax

(708) 684-4068

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward Cardiovascular Institute

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1649386400
  NPD (past)
• Uropartners, LLC

  • Non-Pharmacy Dispensing Site
  • Chicago Ridge, IL
  • NPI 1467471540
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1235110958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "#105",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "630-321-9811",
            "fax_number": "630-321-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5580",
            "fax_number": "708-684-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OW",
        "first_name": "EARL",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036050398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDYPA",
            "identifier": "200029140",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basra Osman, MD
• Hannah Ostermann
• Nneka Nnene Osuji, MD
• Maribeth C. Otte, P.T.
• Myah Overstreet
• Lindsay Nicole Owens
• Elaine O'Grady Owsianiak, PT
• Chiemelie Oziligbo, MD
• P D Medical, S.C.
• Amy Pacella, N.P.

• Pediatric Cardiology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.