Organization Active NPI

Zorub Clinic LTD

  • Primary Care Clinic/Center
  • Oak Lawn, IL
National Provider Identifier
1790867356
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036092465 Issued in IL
Legal business name
ZORUB CLINIC LTD
Practice address
4700 W 95TH St
Suite 103
Oak Lawn, IL 60453-2533
Phone
(708) 422-9771
Fax
(708) 422-9024
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Ossama Hosney Zorub, M.D.NPI 1891769303
Title
Owner
Phone
(708) 422-9771

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
Primary Care Clinic/Center 261QP2300X 036092465 IL Primary

Addresses

Primary practice location

4700 W 95TH St
Suite 103
Oak Lawn, IL 60453-2533

Mailing address

4700 W 95TH St
Suite 103
Oak Lawn, IL 60453-2533
Phone (708) 422-9771

Other identifiers 1

IdentifierTypeStateIssuer
036092465MedicaidIL

National Provider Directory

National Provider Directory

Locations

4700 W 95th St
Ste 201
Oak Lawn, IL 60453
Phone (708) 422-9771

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1790867356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 103",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-422-9771",
            "fax_number": "708-422-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "SUITE 103",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "708-422-9771",
            "fax_number": "708-422-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZORUB CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "ZORUB",
        "authorized_official_first_name": "OSSAMA",
        "authorized_official_middle_name": "HOSNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-422-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036092465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092465",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.