NPIMap

Organization Active NPI

Rush Oak Park Physicians Group Center for Diabetes and Endocrine

  • Endocrinology, Diabetes & Metabolism Physician
  • Oak Park, IL
National Provider Identifier
1841560141
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
RUSH OAK PARK PHYSICIANS GROUP CENTER FOR DIABETES AND ENDOCRINE
Practice address
520 S Maple Ave
3Rd Floor
Oak Park, IL 60304-1022
Phone
(708) 660-5900
NPI assigned
Jan 4, 2012
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSH MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Scott A Halper
Title
Authorized Official
Phone
(312) 942-7770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X IL Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

520 S Maple Ave
3Rd Floor
Oak Park, IL 60304-1022

Mailing address

520 S Maple Ave
3Rd Floor
Oak Park, IL 60304-1022
Phone (708) 660-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000075 IL Part B Supplier - Clinic/Group Practice 3971763707 Receives reassigned benefits from 16 practitioners
Practice locations: Oak Park, IL; Elmwood Park, IL; North Riverside, IL

National Provider Directory

National Provider Directory
Part of
Rush Medical Group

Locations

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1841560141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAPLE AVE",
            "address_2": "3RD FLOOR",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041022",
            "telephone_number": "708-660-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAPLE AVE",
            "address_2": "3RD FLOOR",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041022",
            "telephone_number": "708-660-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OAK PARK PHYSICIANS GROUP CENTER FOR DIABETES AND ENDOCRINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSH MEDICAL GROUP",
        "enumeration_date": "2012-01-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "HALPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-942-7770"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.