Active NPI
Jeffrey E. Oken, M.D.
- Physical Medicine & Rehabilitation Physician
- Wheaton, IL
National Provider Identifier
1699843235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036.078402
- Practice address
- 26W171 Roosevelt Road
Wheaton, IL 60187 - Phone
- (630) 909-7000
- Fax
- (630) 909-7001
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036.078402 | IL | Primary |
Addresses
Primary practice location
26W171 Roosevelt Road
Wheaton, IL 60187
Mailing address
26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone (630) 909-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036078402 | Medicaid | IL | |
| 363236791 | Other | IL | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.078402 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Medicine Clinic | Past | Accepting new patients | |
| Rehabilitation Medicine Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital
- Wheaton, IL
- NPI 1710161591
-
- Rehabilitation Practitioner
- Wheaton, IL
- NPI 1093818494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1699843235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26W171 ROOSEVELT RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876078",
"telephone_number": "630-909-7000",
"fax_number": "630-909-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26W171 ROOSEVELT ROAD",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-909-7000",
"fax_number": "630-909-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEN",
"first_name": "JEFFREY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036.078402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078402",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "363236791",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.