Oak Park Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OAK PARK MEDICAL SERVICES PC

Practice address

917 S Oak Park Ave Ste B
Oak Park, IL 60304-1950

Phone

(708) 386-3080

Fax

(708) 386-3084

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ingrid Y Liu, DO

Title

Owner

Phone

(708) 733-0364

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic Patawaran, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1902873342
  NPD (past)

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1912366295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S OAK PARK AVE STE B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041950",
            "telephone_number": "708-386-3080",
            "fax_number": "708-386-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S OAK PARK AVE STE B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041950",
            "telephone_number": "708-386-3080",
            "fax_number": "708-386-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-733-0364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dr.ingrid.liu@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Lake St",
            "address_2": "Suite 125",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oak Park Dental Studio
• Oak Park Healthcare Center, LLC
• Oak Park Imaging Services, LLC
• Oak Park Kidney Center LLC
• Oak Park Lab LLC
• Oak Park Oasis LLC
• Oak Park Open MRI
• Oak Park Oral Surgery, P.C.
• Oak Park Pediatrics LTD.
• Oak Park Physiotherapy

• Family Medicine Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.