Organization Active NPI

Artemis, LLC

  • Medical Specialty Clinic/Center
  • Oak Park, IL
National Provider Identifier
1669731592
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036072534 Issued in IL
Legal business name
ARTEMIS, LLC
Practice address
137 N Oak Park Ave
Suite 129
Oak Park, IL 60301-1344
Phone
(708) 434-5778
Fax
(708) 434-5032
NPI assigned
May 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2012

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

Authorized official

Name
Dr. Jerry Jones III, M.D.NPI 1669437638
Title
Ceo
Phone
(414) 807-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036072534 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave
Suite 129
Oak Park, IL 60301-1344

Mailing address

137 N Oak Park Ave
Suite 129
Oak Park, IL 60301-1344
Phone (708) 434-5778

National Provider Directory

National Provider Directory

Locations

137 N Oak Park Ave
Ste 129
Oak Park, IL 60301
Phone (708) 434-5778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336780800000",
    "number": "1669731592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 129",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-434-5778",
            "fax_number": "708-434-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "SUITE 129",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-434-5778",
            "fax_number": "708-434-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-12",
        "last_updated": "2012-05-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-807-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036072534",
            "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 May 12, 2012; 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.