Organization Active NPI

Joseph M. Malee OD SC

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1942404843
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOSEPH M. MALEE OD SC
Practice address
4647 W 103Rd St
Oak Lawn, IL 60453-4779
Phone
(798) 424-6540
Fax
(708) 424-7554
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Joseph Michael Malee, OD
Title
President
Phone
(708) 424-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4647 W 103Rd St
Oak Lawn, IL 60453-4779

Mailing address

4647 W 103Rd St
Oak Lawn, IL 60453-4779
Phone (798) 424-6540

National Provider Directory

National Provider Directory

Locations

4647 W 103rd St
Oak Lawn, IL 60453
Phone (708) 424-6540

4647 W 103rd St
Ste 1K
Oak Lawn, IL 60453
Phone (708) 424-6540

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1942404843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "798-424-6540",
            "fax_number": "708-424-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "798-424-6540",
            "fax_number": "708-424-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. MALEE OD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MALEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-424-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.