Individual provider Active NPI

Robert Uehlein, CPO

  • Orthotist
  • Oakbrook Terrace, IL
National Provider Identifier
1447753413
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
211.000169 Issued in IL
Practice address
1S376 Summit Ave
Oakbrook Terrace, IL 60181-3985
Phone
(630) 424-0392
Fax
(630) 424-0467
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 211.000169 IL Primary
Prosthetist 224P00000X NU

Addresses

Primary practice location

1S376 Summit Ave
Oakbrook Terrace, IL 60181-3985

Mailing address

5589 S Oak St
Hinsdale, IL 60521-5063
Phone (708) 878-4570

Other identifiers 2

IdentifierTypeStateIssuer
213.000130OtherILLICENSED PROSTHETIST
211.000169OtherILLICENSED ORTHOTIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
211.000169ILMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1447753413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 S OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605215063",
            "telephone_number": "708-878-4570",
            "fax_number": "630-424-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813985",
            "telephone_number": "630-424-0392",
            "fax_number": "630-424-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEHLEIN",
        "first_name": "ROBERT",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "211.000169",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROSTHETIST",
            "identifier": "213.000130",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ORTHOTIST",
            "identifier": "211.000169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.