Oak Lawn Physical Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OAK LAWN PHYSICAL MEDICINE LLC

Practice address

10250 Central Ave
Oak Lawn, IL 60453-4602

Phone

(708) 423-1440

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey R Hoekstra

Title

Owner

Phone

(708) 423-1440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1649514571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 CENTRAL AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 CENTRAL AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534602",
            "telephone_number": "708-423-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LAWN PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-423-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Lawn Immediate Care LLC
• Oak Lawn Medical Distribution LLC
• Oak Lawn Pain and Wellness Inc
• Oak Lawn Pharmacy LLC
• Oak Lawn Pharmacy, Inc.
• Oak Lawn Physical Therapy LLC
• Oak Lawn Respiratory and Rehabilitation Center LLC
• Oak Ridge Family Dental LLC
• Arinzechukwu Michael Obegolu
• Nicole Obermeyer, APRN

• General Practice Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.