Active NPI
Obregon Medical Center Inc
- Internal Medicine Physician
- Cicero, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036069552
- Legal business name
- OBREGON MEDICAL CENTER INC
- Practice address
- 5533 W Cermak Rd
Cicero, IL 60804-2236 - Phone
- (708) 656-8775
- NPI assigned
- Dec 14, 2010
- Last updated
- Jan 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Felix Obregon, MD
- Title
- Owner/Provider
- Phone
- (708) 656-8775
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036069552 | IL | Primary |
Addresses
Primary practice location
5533 W Cermak Rd
Cicero, IL 60804-2236
Mailing address
5533 W Cermak Rd
Cicero, IL 60804-2236
Phone (708) 656-8775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069552 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- F G Obregon Associates SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Obregon Medical Clinic
- Primary Care Clinic/Center
- North Aurora, IL
- NPI 1013371558
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1831271709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293840000000",
"number": "1912200882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5533 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042236",
"telephone_number": "708-656-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042236",
"telephone_number": "708-656-8775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBREGON MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-14",
"last_updated": "2011-01-01",
"status": "A",
"authorized_official_last_name": "OBREGON",
"authorized_official_first_name": "FELIX",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "708-656-8775",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036069552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069552",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.