Active NPI
Scott R Lowry DO PC
- Family Medicine Physician
- Tinley Park, IL
National Provider Identifier
1265488712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SCOTT R LOWRY DO PC
- Practice address
- 9501 171St St
Tinley Park, IL 60487-6110 - Phone
- (708) 966-0788
- Fax
- (773) 466-1644
- NPI assigned
- May 26, 2006
- Last updated
- Aug 3, 2021
- 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
- Scott Lowry, DO
- Title
- Owner Physician
- Phone
- (708) 258-6300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9501 171St St
Tinley Park, IL 60487-6110
Mailing address
127 E Crawford St
Peotone, IL 60468-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9501 171st St
Ste Q
Tinley Park, IL 60487
Phone 7085326029236
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tinley Park, IL
- NPI 1184626673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627948800000",
"number": "1265488712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E CRAWFORD ST",
"city": "PEOTONE",
"state": "IL",
"postal_code": "604689207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 171ST ST",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604876110",
"telephone_number": "708-966-0788",
"fax_number": "773-466-1644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT R LOWRY DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A",
"authorized_official_last_name": "LOWRY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "708-258-6300",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.