Oleh Paly, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036072020 Issued in IL

Practice address

34905 N Lake Matthews TRL
Ingleside, IL 60041-9480

Phone

(773) 767-8283

NPI assigned

Jul 23, 2006

Last updated

Aug 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1477574374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-4600",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34905 N LAKE MATTHEWS TRL",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "600419480",
            "telephone_number": "773-767-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALY",
        "first_name": "OLEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036072020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072020",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "04905190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobilemogulruralhealthclinic (RoyalRespite)
• Laure Moore
• Dana Muligano, DC
• Diego Munoz, ED.S
• Jennifer Ann O'Grady, M.S. CCC-SLP/L
• Marcy Patterson, LCSW
• Patrice Ann Piechur, R.N.
• Annie Rose Pitts
• Maria Teresa Queypo
• Nader Sallam, MD

• Physical Medicine & Rehabilitation Physician in Ingleside, IL
• Providers in Ingleside, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.