Organization Active NPI

Smartcarehub Inc.

  • General Practice Physician
  • Oak Brook, IL
National Provider Identifier
1245615467
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SMARTCAREHUB INC.
Practice address
1415 W 22ND St
Oak Brook, IL 60523-2074
Phone
(630) 684-2303
Fax
(630) 684-2299
NPI assigned
Jul 29, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Mr. Gerald Thomas Galloway Jr.
Title
President
Phone
(630) 684-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1415 W 22ND St
Oak Brook, IL 60523-2074

Mailing address

1415 W 22ND St
Oak Brook, IL 60523-2074
Phone (630) 684-2303

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1245615467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232074",
            "telephone_number": "630-684-2303",
            "fax_number": "630-684-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232074",
            "telephone_number": "630-684-2303",
            "fax_number": "630-684-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTCAREHUB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-684-2303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 2015; 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.