Solid Rock Care Center II
Organization Active NPI General Practice Physician · Oak Park, IL
NPI 1780877993 · NPPES record last updated Aug 13, 2008
Key facts
- NPI
- 1780877993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Larry Smith
- Title
- Ceo
- Phone
- (708) 358-8040
Practitioners 12
-
Jovita C Anyanwu, M.D.
-
Gerald L Cooke, MD
-
Robert C Filice, MD
-
Lawrence Ngu, M.D.
-
Jesse G. Wardlow, M.D.
-
C. Emmanuel Ayers, M.D.
-
Tamarah Duperval-Brownlee, MD, MPH
-
Kimberly Middleton, M.D.
-
Adeyoyin O Okunade, M.D.
National Provider Directory
Locations
228 Madison St
Oak Park, IL 60302
Phone (708) 358-8040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6030201 | Medicaid | IL |
Other providers in Oak Park, IL
- Mary Katherine Smyrniotis
- Vikram Krishan Sobti
- Hayedeh Sohrabi
- Salam Adnan Mahmoud Soky
- Michael Solberg
- Lucas James Soliday
- Elizabeth A Solis
- Eric Jason Solnin
- Ellen Somberg
- Songbird Counseling PLLC
All providers in Oak Park, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.