Active NPI
River Forest Medical Center Incorporated
- Family Medicine Physician
- Oak Park, IL
National Provider Identifier
1720138746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036076498
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036076498 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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.