Active NPI
Tinley Woods
- Specialist
- Oak Lawn, IL
National Provider Identifier
1588847784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TINLEY WOODS
- Practice address
- 10500 S Cicero Ave
Oak Lawn, IL 60453-5205 - Phone
- (708) 424-1202
- Fax
- (708) 424-1395
- NPI assigned
- Dec 11, 2007
- Organization subpart
- Yes
- Parent organization
- GI ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Ann Omalley, MRS.
- Title
- Billing Manager
- Phone
- (708) 424-1202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
10500 S Cicero Ave
Oak Lawn, IL 60453-5205
Mailing address
18210 La Grange Rd
Suite 201
Tinley Park, IL 60487-7722
Phone (708) 424-1202
Other names 1
- GI ASSOCIATES
National Provider Directory
National Provider Directory- Part of
- Gi Associates LTD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Oak Lawn, IL
- NPI 1962493064
-
- Gastroenterology Physician
- Oak Lawn, IL
- NPI 1538115175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1588847784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD",
"address_2": "SUITE 201",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604877722",
"telephone_number": "708-424-1202",
"fax_number": "708-424-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535205",
"telephone_number": "708-424-1202",
"fax_number": "708-424-1395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINLEY WOODS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GI ASSOCIATES",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "OMALLEY",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "708-424-1202",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MRS."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GI ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.