Organization Active NPI

Saleh Obaisi MD LTD

  • Internal Medicine Physician
  • Clinton, IL
National Provider Identifier
1255479705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALEH OBAISI MD LTD
Practice address
505 W Side SQ
Clinton, IL 61727-1661
Phone
(217) 935-3342
Fax
(217) 935-5351
NPI assigned
Feb 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Saleh Obaisi, MD
Title
Owner
Phone
(217) 935-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

505 W Side SQ
Clinton, IL 61727-1661

Mailing address

PO Box 347
Clinton, IL 61727-0347
Phone (217) 935-3342

National Provider Directory

National Provider Directory

Locations

505 W Side Sq
Clinton, IL 61727
Phone (217) 935-3342

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255479705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617270347",
            "telephone_number": "217-935-3342",
            "fax_number": "217-935-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W SIDE SQ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271661",
            "telephone_number": "217-935-3342",
            "fax_number": "217-935-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEH OBAISI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBAISI",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-935-3342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.