Active NPI
Saleh Obaisi MD LTD
- Internal Medicine Physician
- Clinton, IL
National Provider Identifier
1255479705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.