Oak Park Pediatrics LTD.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036-098343 Issued in IL

Legal business name

OAK PARK PEDIATRICS LTD.

Practice address

1107 Chicago Ave
Oak Park, IL 60302-1803

Phone

(773) 209-5199

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Erin Taback, M.D.NPI 1003900556

Title

President

Phone

(773) 209-5199

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Erin Michelle Taback, M.D.

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1003900556
  NPD (past) Authorized official
• Tara Brito

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1558603217
  NPD (past)
• Elan Green, DO

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1225668890
  NPD (past)
• Abigail Lynn Hodges

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1417256652
  NPD (past)
• Lauren Ashley Knight, MD

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1871097188
  NPD (past)
• Katherine Martin

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1437783024
  NPD (past)
• Elizabeth Ann Thompson, M.D.

  • Pediatrics Physician
  • Oak Park, IL
  • NPI 1780845917
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1700180171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N GROVE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021238",
            "telephone_number": "773-209-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021803",
            "telephone_number": "773-209-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK PEDIATRICS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "TABACK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-209-5199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-098343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park Lab LLC
• Oak Park Medical Services PC
• Oak Park Oasis LLC
• Oak Park Open MRI
• Oak Park Oral Surgery, P.C.
• Oak Park Physiotherapy
• Oak Park PS Dist 97
• Oak Park River Forest Infant Welfare Society (Infant Welfare Clinic)
• Oak Park Sport & Spine SC
• Oak Park Sports Medicine

• Primary Care Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.