Organization Active NPI

Oak Park Autism Clinic Inc

  • Behavior Analyst
  • Oak Park, IL
National Provider Identifier
1508618984
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OAK PARK AUTISM CLINIC INC
Practice address
7121 North Ave
Oak Park, IL 60302-1002
Phone
(800) 551-7987
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Noha Khalil
Title
Owner
Phone
(800) 551-7987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7121 North Ave
Oak Park, IL 60302-1002

Mailing address

8700 Mobile Ave
Oak Lawn, IL 60453-1152
Phone (800) 511-7987

National Provider Directory

National Provider Directory
Tax ID family
Oak Park Autism Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7121 North Ave
Oak Park, IL 60302
Phone (708) 270-1665

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1508618984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MOBILE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531152",
            "telephone_number": "800-511-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021002",
            "telephone_number": "800-551-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK AUTISM CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NOHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-551-7987"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 1, 2024; 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.