NPIMap

Individual provider Active NPI

Michele Frances Carlon, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1285670273
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1011 Lake St
Oak Park, IL 60301-1148
Phone
(708) 628-0600
Fax
(708) 628-0608
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1011 Lake St
Oak Park, IL 60301-1148

Mailing address

1011 W. Lake St
Ste 300
Oak Park, IL 60301-1138
Phone (708) 628-0600

Other identifiers 2

IdentifierTypeStateIssuer
1634566OtherILBCBS PROVIDER ID
P00196558OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000558 IL Practitioner - Internal Medicine 4587627831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1049 Lake St
Suite 201
Oak Park, IL 60301-6708

1625 N Harlem Ave
Chicago, IL 60707-4303

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Oak Park ER Physicians Group CurrentSince Jun 12, 2020 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Rush Oak Park Physicians Group Lake Street Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 1620
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

75 Remittance Dr
Dept 1611
Chicago, IL 60675

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

1011 Lake St
Ste 300
Oak Park, IL 60301
Phone (708) 366-7896

Interoperability endpoints

  • Direct secure messaging: mcarlon20186@direct.rush.rush-health.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1285670273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W. LAKE ST",
            "address_2": "STE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011138",
            "telephone_number": "708-628-0600",
            "fax_number": "708-628-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-628-0600",
            "fax_number": "708-628-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLON",
        "first_name": "MICHELE",
        "middle_name": "FRANCES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "1634566",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.