Organization Active NPI

Oak Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Bradley, IL
National Provider Identifier
1639224827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002702 Issued in IL
Legal business name
OAK SURGICAL INSTITUTE
Practice address
403 S Kennedy Dr
Bradley, IL 60915-2152
Phone
(815) 928-9999
Fax
(815) 928-8669
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet Bower, RN
Title
Director
Phone
(815) 928-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002702 IL Primary

Addresses

Primary practice location

403 S Kennedy Dr
Bradley, IL 60915-2152

Mailing address

403 S Kennedy Dr
Bradley, IL 60915-2152
Phone (815) 928-9999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639224827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152152",
            "telephone_number": "815-928-9999",
            "fax_number": "815-928-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152152",
            "telephone_number": "815-928-9999",
            "fax_number": "815-928-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-928-9999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.