Organization Active NPI

Orchard Group Inc

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1770511339
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORCHARD GROUP INC
Practice address
4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1425
Phone
(847) 679-6707
Fax
(847) 679-6721
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Joseph P Wyse, M.D.NPI 1669436747
Title
President
Phone
(847) 679-6707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1425

Mailing address

4905 Old Orchard Ctr
Concourse Level
Skokie, IL 60077-1458
Phone (847) 679-6707

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0701466Orchard Group, Inc4905 Old Orchard Ctr - L L, Skokie, IL 60077Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gregory Kaczmarek MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1770511339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "CONCOURSE LEVEL",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771458",
            "telephone_number": "847-679-6707",
            "fax_number": "847-679-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "CONCOURSE LEVEL",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-679-6707",
            "fax_number": "847-679-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "WYSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.