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Organization Active NPI

Oak West Primary Physician Organization

  • Health Maintenance Organization
  • Hillside, IL
National Provider Identifier
1710028972
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
OAK WEST PRIMARY PHYSICIAN ORGANIZATION
Practice address
4415 Harrison St
Suite 300
Hillside, IL 60162-1910
Phone
(708) 432-4047
Fax
(708) 432-0158
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Samuel M. Yunez Jr., M.D.
Title
President
Phone
(708) 450-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

4415 Harrison St
Suite 300
Hillside, IL 60162-1910

Mailing address

4415 Harrison St
Suite 300
Hillside, IL 60162-1910
Phone (708) 432-4047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1710028972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST",
            "address_2": "SUITE 300",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621910",
            "telephone_number": "708-432-4047",
            "fax_number": "708-432-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST",
            "address_2": "SUITE 300",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621910",
            "telephone_number": "708-432-4047",
            "fax_number": "708-432-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK WEST PRIMARY PHYSICIAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "YUNEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-450-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.