Oak Park VA Clinic

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

OAK PARK VA CLINIC

Practice address

149 S Oak Park Ave
Oak Park, IL 60302-2901

Phone

(708) 386-3008

Fax

(708) 386-3189

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Barbara Mayerick

Title

Director, Business Development

Phone

(202) 254-0339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1902843360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022901",
            "telephone_number": "708-386-3008",
            "fax_number": "708-386-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022901",
            "telephone_number": "708-386-3008",
            "fax_number": "708-386-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK VA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MAYERICK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "202-254-0339"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park PS Dist 97
• Oak Park River Forest Infant Welfare Society (Infant Welfare Clinic)
• Oak Park Sport & Spine SC
• Oak Park Sports Medicine
• Oak Park Township
• Oak Park Womens Health
• Oak Park Womens Health
• Oak-Leyden Developmental Services
• Raneen Obeidallah
• Candice Oberlies, PA-C

• VA Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• VA Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.