NPIMap

Organization Active NPI

Diane L Ozog, MDSC

  • Allergy & Immunology Physician
  • Naperville, IL
National Provider Identifier
1245374875
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
042006736 Issued in IL
Legal business name
DIANE L OZOG, MDSC
Practice address
1331 W 75TH St Ste 303
Naperville, IL 60540-9311
Phone
(630) 652-0606
Fax
(630) 652-9900
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Diane L OzogNPI 1972647154
Title
President
Phone
(630) 652-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 042006736 IL Primary

Addresses

Primary practice location

1331 W 75TH St Ste 303
Naperville, IL 60540-9311

Mailing address

1331 W 75TH St Ste 303
Naperville, IL 60540-9311
Phone (630) 652-0606

Other practice location 1

1331 W 75th St Ste 303
Naperville, IL 60540-9311
Phone (630) 652-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050408000531 IL Part B Supplier - Clinic/Group Practice 3274570510 Receives reassigned benefits from 4 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

130 S Main St
Ste 202
Lombard, IL 60148
Phone (630) 652-0606

1331 W 75th St
Ste 303
Naperville, IL 60540
Phone (630) 652-0606

1288 Rickert Dr
Ste 100
Naperville, IL 60540
Phone (630) 652-0606

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1245374875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-652-0606",
            "fax_number": "630-652-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 303",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-652-0606",
            "fax_number": "630-652-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 W 75th St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605409311",
            "country_code": "US",
            "telephone_number": "630-652-0606",
            "fax_number": "630-652-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANE L OZOG, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "OZOG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-652-0606"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "042006736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.