NPIMap

Organization Active NPI

Oak Roots Dynamic Corp

  • Community/Behavioral Health Agency
  • Palatine, IL
National Provider Identifier
1720441124
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149.012248 Issued in IL
Legal business name
OAK ROOTS DYNAMIC CORP
Practice address
675 N North CT
Suite 272
Palatine, IL 60067-8157
Phone
(224) 436-7392
Fax
(847) 398-7831
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
John Corso, LCSW
Title
Director
Phone
(224) 436-7392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149.012248 IL Primary

Addresses

Primary practice location

675 N North CT
Suite 272
Palatine, IL 60067-8157

Mailing address

675 N North CT
Suite 272
Palatine, IL 60067-8157
Phone (224) 436-7392

National Provider Directory

National Provider Directory

Locations

675 N North Ct
Ste 272
Palatine, IL 60067
Phone (224) 436-7392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1720441124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N NORTH CT",
            "address_2": "SUITE 272",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678157",
            "telephone_number": "224-436-7392",
            "fax_number": "847-398-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N NORTH CT",
            "address_2": "SUITE 272",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678157",
            "telephone_number": "224-436-7392",
            "fax_number": "847-398-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK ROOTS DYNAMIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "CORSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "224-436-7392",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.012248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.