Organization Active NPI

Oakbrook Primary Care

  • Family Medicine Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1871873885
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036085129 Issued in IL
Legal business name
OAKBROOK PRIMARY CARE
Practice address
17 West 755 Butterfield Road
Suite No 103
Oakbrook Terrace, IL 60181-4253
Phone
(630) 889-8922
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Dina Desai, M.D.NPI 1487678454
Title
M.D./Owner
Phone
(630) 889-8922

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
Family Medicine Physician 207Q00000X 036085129 IL Primary

Addresses

Primary practice location

17 West 755 Butterfield Road
Suite No 103
Oakbrook Terrace, IL 60181-4253

Mailing address

17 West 755 Butterfield Road
Suite No 103
Oakbrook Terrace, IL 60181-4253
Phone (630) 889-8922

Other identifiers 1

IdentifierTypeStateIssuer
036085129MedicaidIL

National Provider Directory

National Provider Directory

Locations

17W755 Butterfield Rd
Ste No
Oakbrook Terrace, IL 60181
Phone (630) 889-8922

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1871873885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEST 755 BUTTERFIELD ROAD",
            "address_2": "SUITE NO 103",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814253",
            "telephone_number": "630-889-8922",
            "fax_number": "639-889-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WEST 755 BUTTERFIELD ROAD",
            "address_2": "SUITE NO 103",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814253",
            "telephone_number": "630-889-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBROOK PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "630-889-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.