Old Orchard Health Medical and Rehab Ctr LTD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

OLD ORCHARD HEALTH MEDICAL AND REHAB CTR LTD

Practice address

9933 Lawler Ave Ste 502
Skokie, IL 60077-4302

Phone

(847) 677-9999

Fax

(847) 677-9955

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Howard Rubin, MD

Title

President

Phone

(847) 677-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1437359122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 502",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774302",
            "telephone_number": "847-677-9999",
            "fax_number": "847-677-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 502",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774302",
            "telephone_number": "847-677-9999",
            "fax_number": "847-677-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD ORCHARD HEALTH MEDICAL AND REHAB CTR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-677-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D12542",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Busala Oke, MD
• Jodi Novick Okner, LCSW
• Makanjuola Olabiyi
• Old Orchard Dental Group P.C.
• Old Orchard Endodontics
• Old Orchard Obstetrics&Gynecology, S.C.
• Old Orchard Periodontics & Implant Dentistry LTD
• Lisa Oldson, M.D.
• Margaret M Oleary, DPT
• Alisa L Oler, RDN

• Health Service Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.