Active NPI
Palos Internists SC
Doing business as Dr. Satinder Dalawari
- Internal Medicine Physician
- Oak Lawn, IL
National Provider Identifier
1942423660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PALOS INTERNISTS SC
- Doing business as
- Dr. Satinder Dalawari
- Practice address
- 4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779 - Phone
- (708) 952-0200
- Fax
- (708) 952-0220
- NPI assigned
- Apr 11, 2007
- Last updated
- Oct 14, 2008
- 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
- Mrs. Pat Devries
- Title
- Billing Manager
- Phone
- (708) 460-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779
Mailing address
4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4779
Phone (708) 952-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088880 | Medicaid | IL | |
| 1942423660 | Other | IL | BLUE CROSS |
| CK8079 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Dr. Satinder Dalawari
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 |
|---|---|---|---|
| 14D2036643 | Palos Internists SC | Certificate of waiver | Feb 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
4647 W 103rd St
Ste 2L
Oak Lawn, IL 60453
Phone (708) 952-0200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJCDBA
Practitioners & affiliated clinicians
Practitioners 6
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
- Oak Lawn, IL
- NPI 1245369685
-
- Internal Medicine Physician
- Oak Lawn, IL
- NPI 1750449880
-
- Nurse Practitioner
- Oak Lawn, IL
- NPI 1134996606
-
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1144276361
-
- Nurse Practitioner
- Palatine, IL
- NPI 1801359039
-
- Vascular & Interventional Radiology Physician
- Lake Zurich, IL
- NPI 1093707457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1942423660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 W 103RD ST",
"address_2": "SUITE 2L",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534779",
"telephone_number": "708-952-0200",
"fax_number": "708-952-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 W 103RD ST",
"address_2": "SUITE 2L",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534779",
"telephone_number": "708-952-0200",
"fax_number": "708-952-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOS INTERNISTS SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "DEVRIES",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "708-460-5000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088880",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1942423660",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK8079",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Satinder Dalawari",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 14, 2008; 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.