Organization Active NPI

Smartcarehub LLC

  • General Practice Physician
  • Oak Brook, IL
National Provider Identifier
1356709489
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.