Active NPI
Smartcarehub LLC
- General Practice Physician
- Oak Brook, IL
National Provider Identifier
1356709489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SMARTCAREHUB LLC
- Practice address
- 1415 W 22ND St
Oak Brook, IL 60523-2074 - Phone
- (312) 806-3800
- Fax
- (630) 684-2299
- NPI assigned
- Feb 3, 2016
- Organization subpart
- Yes
- Parent organization
- SMARTCAREHUB INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Thomas Galloway
- Title
- Principal
- Phone
- (630) 684-2303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1415 W 22ND St
Oak Brook, IL 60523-2074
Mailing address
1415 W 22ND St
Oak Brook, IL 60523-2074
Phone (312) 806-3800
National Provider Directory
National Provider Directory- Part of
- Smartcarehub Inc
Locations
101 E Clayton St
Athens, GA 30601
Phone (706) 543-3454
1415 W 22nd St
Ste Tower
Oak Brook, IL 60523
1690 25th St NW
Cleveland, TN 37311
Phone (312) 806-3800
1406 Tusculum Blvd
Ste 2003
Greeneville, TN 37745
Phone (423) 636-0050
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Physician
- Oak Brook, IL
- NPI 1245615467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1356709489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232074",
"telephone_number": "312-806-3800",
"fax_number": "630-684-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232074",
"telephone_number": "312-806-3800",
"fax_number": "630-684-2299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMARTCAREHUB LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SMARTCAREHUB INC",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "GALLOWAY",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "630-684-2303",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.