Individual provider Active NPI

Michael Henry Oster, D.O.

  • Emergency Medicine Physician
  • Gurnee, IL
National Provider Identifier
1356333991
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Practice address
34555 N Red Oak LN
Gurnee, IL 60031-2563
Phone
(847) 244-0678
Fax
(847) 244-0886
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39679-021 WI
Emergency Medicine Physician 207P00000X IL Primary

Addresses

Primary practice location

34555 N Red Oak LN
Gurnee, IL 60031-2563

Mailing address

34555 N Red Oak LN
Gurnee, IL 60031-2563
Phone (847) 244-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20120626000270 WI Practitioner - Emergency Medicine 8820045834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 E Olin Ave
Madison, WI 53713-1434
Phone (608) 807-1428

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-058944ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Services and Pharmacotherapy, SC Current Accepting new patients
Addiction Services and Pharmacotherapy, SC CurrentSince Feb 6, 2024 Accepting new patients
Addiction Services and Pharmacotherapy, SC CurrentSince Feb 6, 2024 Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Emergency Care Physician Services HP, LTD. Emergency Medicine Past Accepting new patients
Ihc-Swedishamerican Emergency Physicians, LLC Emergency Medicine PastSince Dec 15, 2019 Accepting new patients
Unimed, LTD Past Accepting new patients

Locations

3825 39th Ave
Ste 120
Kenosha, WI 53144
Phone (262) 946-5752

210 E Olin Ave
Madison, WI 53713
Phone (608) 807-1428

11390 W Theodore Trecker Way
West Milwaukee, WI 53214
Phone (414) 928-1401

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356333991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34555 N RED OAK LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312563",
            "telephone_number": "847-244-0678",
            "fax_number": "847-244-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34555 N RED OAK LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312563",
            "telephone_number": "847-244-0678",
            "fax_number": "847-244-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTER",
        "first_name": "MICHAEL",
        "middle_name": "HENRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "39679-021",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.