Organization Active NPI

Chris Oh, M.D., S.C.

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1841565694
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHRIS OH, M.D., S.C.
Practice address
3633 W Lake Ave Ste 410
Glenview, IL 60026-5804
Phone
(847) 375-8181
Fax
(847) 375-8310
NPI assigned
Mar 13, 2012
Last updated
Dec 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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

Authorized official

Name
Dr. Kyong Christopher Oh, M.D.NPI 1144253048
Title
Physician
Phone
(847) 375-8181

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3633 W Lake Ave Ste 410
Glenview, IL 60026-5804

Mailing address

3633 W Lake Ave Ste 410
Glenview, IL 60026-5804
Phone (847) 375-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000366 IL Part B Supplier - Clinic/Group Practice 9436310299 Receives reassigned benefits from 1 practitioner
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Locations

3633 W Lake Ave
Ste 410
Glenview, IL 60026
Phone (847) 375-8181

241 Golf Mill Ctr
Ste 508
Niles, IL 60714
Phone (847) 297-4688

Practitioners & affiliated clinicians

Practitioners 1

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": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671235200000",
    "number": "1841565694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 410",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "847-375-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 410",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "847-375-8181",
            "fax_number": "847-375-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS OH, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "KYONG",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-375-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.