Oak Brook Allergists SC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

042000355 Issued in IL

Legal business name

OAK BROOK ALLERGISTS SC

Practice address

360 W Butterfield Rd Ste 140
Elmhurst, IL 60126-5025

Phone

(630) 574-0460

Fax

(630) 574-0470

NPI assigned

Jul 9, 2006

Last updated

Mar 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Knysak, MDNPI 1609876101

Title

President

Phone

(630) 574-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• David J Knysak, MD

  • Allergy & Immunology Physician
  • Elmhurst, IL
  • NPI 1609876101
  Medicare reassignment Care Compare group NPD Authorized official
• Raymond M Pongonis Jr., M.D.

  • Allergy & Immunology Physician
  • Naperville, IL
  • NPI 1023274792
  Medicare reassignment Care Compare group NPD
• Zachary Rubin

  • Allergy & Immunology Physician
  • Elmhurst, IL
  • NPI 1750775185
  Medicare reassignment Care Compare group NPD
• Hassan M Nasir, D.O.

  • Allergy & Immunology Physician
  • Gladwin, MI
  • NPI 1376771626
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1700819117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 140",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265025",
            "telephone_number": "630-574-0460",
            "fax_number": "630-574-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 140",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265025",
            "telephone_number": "630-574-0460",
            "fax_number": "630-574-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK ALLERGISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "KNYSAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-574-0460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "042000355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Caryn O'Halloran, DT
• Patrick M O'Meara, M.D.
• Megan G O'Neal
• Daniel Francis O'Reilly, M.D.
• Michael Francis O'Toole, MD
• Jennifer Lynn Oberholz, BC-HIS
• Stacey A Obermeyer, APN-CRNA
• Susan O. Obman, APN-CNP
• Daryl Len Oconnor, MD
• Suzanne Oddo, APRN

• Allergy & Immunology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.