NPIMap

Organization Active NPI

Rush Oak Park Physicians Group Anchor

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1396018453
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 ANCHOR
Practice address
610 S Maple Ave
Suite 3900
Oak Park, IL 60304-1091
Phone
(708) 524-1674
NPI assigned
Feb 20, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary
Internal Medicine Physician 207R00000X IL
Pediatrics Physician 208000000X IL

Addresses

Primary practice location

610 S Maple Ave
Suite 3900
Oak Park, IL 60304-1091

Mailing address

610 S Maple Ave
Suite 3900
Oak Park, IL 60304-1091
Phone (708) 524-1674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000726 IL Part B Supplier - Clinic/Group Practice 7719148378 Receives reassigned benefits from 16 practitioners
Practice locations: Oak Park, IL; North Riverside, IL; Elmwood Park, IL

National Provider Directory

National Provider Directory
Part of
Rush Medical Group

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1396018453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE",
            "address_2": "SUITE 3900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "708-524-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE",
            "address_2": "SUITE 3900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "708-524-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OAK PARK PHYSICIANS GROUP ANCHOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH MEDICAL GROUP",
        "enumeration_date": "2012-02-20",
        "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": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak 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.