Individual provider Active NPI

Gerald Jay Osher, M.D.

  • Internal Medicine Physician
  • Bannockburn, IL
National Provider Identifier
1326056136
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036066116 Issued in IL
Practice address
2101 Waukegan Rd Ste 200
Bannockburn, IL 60015-1800
Phone
(847) 317-1717
Fax
(847) 317-9305
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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 036066116 IL Primary

Addresses

Primary practice location

2101 Waukegan Rd Ste 200
Bannockburn, IL 60015-1800

Mailing address

2101 Waukegan Rd Ste 200
Bannockburn, IL 60015-1800
Phone (847) 710-1246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000578 IL Practitioner - Internal Medicine 2062586761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent M Nathan MD PLLCGroup PAC ID 2365942885, 5 clinicians

Practice addresses (Care Compare)

2101 Waukegan Rd
Suite 200
Bannockburn, IL 60015-1800
Phone (847) 317-1717

Hospital & facility affiliations

  • Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
  • Vitas Healthcare Corporation of Illinois Hospice, Lombard, IL, CCN 141514
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Lake Forest Place Nursing home, Lake Forest, IL, CCN 145986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036066116ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Nathan MD PLLC Internal Medicine CurrentSince Jul 23, 2025 Accepting new patients

Locations

2101 Waukegan Rd
Ste 200
Bannockburn, IL 60015
Phone (847) 317-1717

2101 Waukegan Rd
Ste 104
Bannockburn, IL 60015
Phone (847) 317-1717

Organizations & group practices 1

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 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1326056136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 200",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151800",
            "telephone_number": "847-710-1246",
            "fax_number": "847-317-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 200",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151800",
            "telephone_number": "847-317-1717",
            "fax_number": "847-317-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHER",
        "first_name": "GERALD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036066116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

Verify at the official NPI Registry.