Procare Medical Center of Oak Park S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036094250 Issued in IL

Legal business name

PROCARE MEDICAL CENTER OF OAK PARK S.C.

Practice address

6715 North Ave
Oak Park, IL 60302-1006

Phone

(708) 386-9600

Fax

(708) 386-6558

NPI assigned

Aug 14, 2008

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allan Momney

Title

Office Manager

Phone

(708) 386-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alejandra Campos-Momney, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1932195146
  Medicare reassignment

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1780830323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021006",
            "telephone_number": "708-386-9600",
            "fax_number": "708-386-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021006",
            "telephone_number": "708-386-9600",
            "fax_number": "708-386-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL CENTER OF OAK PARK S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "MOMNEY",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-386-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leteria RS Price, LCPC, LPHA
• Michael Price
• Priebe Psychological & Wellness
• Brock Prizel, DPT
• Pro Dental Il - Chad Wise PC (Destiny Dental of Oak Park)
• Isis Proctor
• Professional Anesthesia, S.C.
• Rachel H Prokopf, DNP, APRN, AGNP-C
• Prosper Psychological Services LLC
• Proviso Family Services (Resurrection Behavioral Health)

• Family Medicine Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.