Organization Active NPI

MSK Medical LTD

  • General Practice Physician
  • Oak Brook, IL
National Provider Identifier
1699360024
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MSK MEDICAL LTD
Practice address
2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637
Phone
(773) 245-3613
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Eric Schaid
Title
Owner
Phone
(773) 245-3613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637

Mailing address

2603 W 22ND St Ste 22
Oak Brook, IL 60523-4637

National Provider Directory

National Provider Directory

Locations

2603 W 22nd St
Ste 22
Oak Brook, IL 60523
Phone (630) 317-7478

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1699360024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W 22ND ST STE 22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W 22ND ST STE 22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234637",
            "telephone_number": "773-245-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHAID",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-245-3613"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.