Active NPI
Matthew C Okon, CPO
- Prosthetist
- Hickory Hills, IL
National Provider Identifier
1548766322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 211000204
- Practice address
- 8641 W 95TH St
Hickory Hills, IL 60457-1730 - Phone
- (708) 599-8336
- Fax
- (708) 599-2792
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 213000195 | IL | |
| Prosthetist | 224P00000X | 211000204 | IL | Primary |
Addresses
Primary practice location
8641 W 95TH St
Hickory Hills, IL 60457-1730
Mailing address
1S376 Summit Ave
Court E
Oakbrook Terrace, IL 60181-3985
Phone (630) 424-0392
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
| License | State | Type | Specialty |
|---|---|---|---|
| 213000195 | IL | MD | Orthotist |
| 211000204 | IL | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1548766322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1S376 SUMMIT AVE",
"address_2": "COURT E",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813985",
"telephone_number": "630-424-0392",
"fax_number": "630-424-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 W 95TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604571730",
"telephone_number": "708-599-8336",
"fax_number": "708-599-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKON",
"first_name": "MATTHEW",
"middle_name": "C",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "IL",
"license": "213000195",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "IL",
"license": "211000204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.