Internal Medicine Center of Oak Park and River Forest SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE CENTER OF OAK PARK AND RIVER FOREST SC

Practice address

7411 Lake St
Ste L120
River Forest, IL 60305-1876

Phone

(708) 488-1919

Fax

(708) 488-2370

NPI assigned

Jul 5, 2006

Last updated

Dec 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Shihkun Yen, MD

Title

President

Phone

(708) 488-1919

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1881625002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "STE L120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-488-1919",
            "fax_number": "708-488-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "STE L120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-488-1919",
            "fax_number": "708-488-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CENTER OF OAK PARK AND RIVER FOREST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "SHIHKUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-488-1919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC0368",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001634609",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faiqa Hussain, PHARMD
• Georgeann L Iacono Russell, PH.D
• John Ilic
• Integrative Chiropractic & Wellness, LLC
• Integrative Therapies, LTD.
• Ivan Ivanov, DO
• Ivory Wellness PLLC
• Carol Ann Jabs, PHD
• Sheri Nichole Jakupovic, APN
• Michael Jamieson

• Internal Medicine Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.