NPIMap

Organization Active NPI

Rush Oak Park Physicians Group Elmwood Park

  • Family Medicine Physician
  • Elmwood Park, IL
National Provider Identifier
1326318627
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK
Practice address
7734 W North Ave
Elmwood Park, IL 60707-4124
Phone
(708) 456-6611
NPI assigned
Jan 4, 2012
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSH MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Scott A Halper
Title
Authorized Official
Phone
(312) 942-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

7734 W North Ave
Elmwood Park, IL 60707-4124

Mailing address

7734 W North Ave
Elmwood Park, IL 60707-4124
Phone (708) 456-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000232 IL Part B Supplier - Clinic/Group Practice 9234393117 Receives reassigned benefits from 9 practitioners
Practice locations: North Riverside, IL; Oak Park, IL; Elmwood Park, IL; Chicago, IL

National Provider Directory

National Provider Directory
Part of
Rush Medical Group

Locations

75 Remittance Dr
Ste 162
Chicago, IL 60675

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1326318627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "708-456-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074124",
            "telephone_number": "708-456-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OAK PARK PHYSICIANS GROUP ELMWOOD PARK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH MEDICAL GROUP",
        "enumeration_date": "2012-01-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "HALPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-7770"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.

Verify at the official NPI Registry.