NPIMap

Organization Active NPI

Solid Rock Care Center II

  • General Practice Physician
  • Oak Park, IL
National Provider Identifier
1780877993
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOLID ROCK CARE CENTER II
Practice address
228 Madison St
Oak Park, IL 60302-4194
Phone
(708) 358-8040
Fax
(708) 358-8049
NPI assigned
Aug 21, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Mr. Larry Smith
Title
Ceo
Phone
(708) 358-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

228 Madison St
Oak Park, IL 60302-4194

Mailing address

228 Madison St
Oak Park, IL 60302-4194
Phone (708) 358-8040

National Provider Directory

National Provider Directory

Locations

228 Madison St
Oak Park, IL 60302
Phone (708) 358-8040

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1780877993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024194",
            "telephone_number": "708-358-8040",
            "fax_number": "708-358-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024194",
            "telephone_number": "708-358-8040",
            "fax_number": "708-358-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID ROCK CARE CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-358-8040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 13, 2008; 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.