Active NPI
Parkview Orthopaedic Group S C
- Orthopaedic Surgery Physician
- Oak Lawn, IL
National Provider Identifier
1407167109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 042619643
- Legal business name
- PARKVIEW ORTHOPAEDIC GROUP S C
- Practice address
- 4710 W 95TH St Ste B1
Oak Lawn, IL 60453-2570 - Phone
- (708) 361-0600
- Fax
- (708) 529-0356
- NPI assigned
- Jun 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Flamburis
- Title
- Revenue Cycle Manager
- Phone
- (708) 361-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 042619643 | IL | Primary |
Addresses
Primary practice location
4710 W 95TH St Ste B1
Oak Lawn, IL 60453-2570
Mailing address
7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054407 | IL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9335134691 | Practice locations: Oak Lawn, IL |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Parkview Orthopaedics G
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- New Lenox, IL
- NPI 1689269839
-
dba Parkview Orthopaedic Group RPM
- Orthopaedic Surgery Physician
- Palos Heights, IL
- NPI 1740875012
-
- Orthopaedic Surgery Physician
- Mokena, IL
- NPI 1780995480
Locations
4710 W 95th St
Ste B1
Oak Lawn, IL 60453
Phone (708) 361-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1407167109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 W COLLEGE DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631001",
"telephone_number": "708-361-0600",
"fax_number": "708-923-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 W 95TH ST STE B1",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532570",
"telephone_number": "708-361-0600",
"fax_number": "708-529-0356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW ORTHOPAEDIC GROUP S C",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-28",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "FLAMBURIS",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "708-361-0600"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "042619643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.