Organization Active NPI

William H. Egan M.D.,S.C.

  • Psychiatry Physician
  • Oak Park, IL
National Provider Identifier
1801049093
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WILLIAM H. EGAN M.D.,S.C.
Practice address
1011 Lake St
Ste 418
Oak Park, IL 60301-1148
Phone
(847) 295-7746
Fax
(847) 295-7936
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. William H. Egan, M.D.
Title
President
Phone
(847) 295-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1011 Lake St
Ste 418
Oak Park, IL 60301-1148

Mailing address

PO Box 214
Lake Forest, IL 60045-0214
Phone (847) 295-7746

National Provider Directory

National Provider Directory

Locations

1011 Lake St
Ste 418
Oak Park, IL 60301
Phone (708) 386-4517

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1801049093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450214",
            "telephone_number": "847-295-7746",
            "fax_number": "847-295-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "STE 418",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "847-295-7746",
            "fax_number": "847-295-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H. EGAN M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-295-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Oct 31, 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.