Organization Active NPI

River Forest Medical Center Incorporated

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1720138746
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036076498 Issued in IL
Legal business name
RIVER FOREST MEDICAL CENTER INCORPORATED
Practice address
1125 Westgate St
Oak Park, IL 60301-1007
Phone
(708) 848-0040
Fax
(708) 848-2931
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Makis Limperis
Title
President
Phone
(708) 848-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036076498 IL Primary

Addresses

Primary practice location

1125 Westgate St
Oak Park, IL 60301-1007

Mailing address

1125 Westgate St
Oak Park, IL 60301-1007
Phone (708) 848-0040

Other identifiers 1

IdentifierTypeStateIssuer
036076498MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720138746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WESTGATE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011007",
            "telephone_number": "708-848-0040",
            "fax_number": "708-848-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WESTGATE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011007",
            "telephone_number": "708-848-0040",
            "fax_number": "708-848-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FOREST MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LIMPERIS",
        "authorized_official_first_name": "MAKIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-848-0040"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036076498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.