Active NPI
Vadim Edelstein MD LTD
Doing business as Oakton Park Medical Center
- Internal Medicine Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VADIM EDELSTEIN MD LTD
- Doing business as
- Oakton Park Medical Center
- Practice address
- 4555 Oakton St
Skokie, IL 60076-3178 - Phone
- (847) 982-9988
- Fax
- (847) 982-9789
- NPI assigned
- May 19, 2006
- Last updated
- Jul 21, 2022
- 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
- Dr. Vadim Edelstein
- Title
- MD
- Phone
- (847) 982-9988
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 | IL | Primary |
Addresses
Primary practice location
4555 Oakton St
Skokie, IL 60076-3178
Mailing address
4555 Oakton St
Skokie, IL 60076-3178
Phone (847) 982-9988
Other names 1
- Oakton Park Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0936035 | Vadim Edelstein MD LTD | Certificate of waiver | Nov 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2965 W Peterson Ave
Chicago, IL 60659
Phone (773) 275-9700
3330 Dundee Rd
Ste C2
Northbrook, IL 60062
Phone (847) 480-7877
610 S Maple Ave
Ste 4000
Oak Park, IL 60304
Phone (706) 660-6301
4555 Oakton St
#1
Skokie, IL 60076
Phone (847) 982-9988
Practitioners & affiliated clinicians
Practitioners 9
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
- Skokie, IL
- NPI 1760431076
-
- Nurse Practitioner
- Chicago, IL
- NPI 1104873140
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1952359440
-
- Podiatrist
- Skokie, IL
- NPI 1538137831
-
- Physical Therapy Assistant
- Skokie, IL
- NPI 1023325818
-
- Adult Health Nurse Practitioner
- Des Plaines, IL
- NPI 1346266624
-
- Internal Medicine Physician
- Hoffman Estates, IL
- NPI 1083812465
-
- Professional Counselor
- Northbrook, IL
- NPI 1689016289
-
- Nurse Practitioner
- Orlando, FL
- NPI 1740530096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1912951617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763178",
"telephone_number": "847-982-9988",
"fax_number": "847-982-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763178",
"telephone_number": "847-982-9988",
"fax_number": "847-982-9789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VADIM EDELSTEIN MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "EDELSTEIN",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "847-982-9988",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakton Park Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.