Active NPI
Bolsen Health Center
- Primary Care Clinic/Center
- Elmhurst, IL
National Provider Identifier
1952606147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- D046435
- Legal business name
- BOLSEN HEALTH CENTER
- Practice address
- 150 E Schiller St Apt 506
Elmhurst, IL 60126-2852 - Phone
- (630) 833-5732
- Fax
- (630) 833-5742
- NPI assigned
- Jan 19, 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
- Dr. Benjamin Atteh Okai, M.D.
- Title
- Manager
- Phone
- (708) 763-8334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | D046435 | IL | Primary |
Addresses
Primary practice location
150 E Schiller St Apt 506
Elmhurst, IL 60126-2852
Mailing address
6429 .W. North Avenue , Suite 106
Oak Park, IL 60302
Phone (708) 763-8334
National Provider Directory
National Provider DirectoryLocations
6429 North Ave
Ste 106
Oak Park, IL 60302
Phone (708) 763-8334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1992815088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1952606147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6429 .W. NORTH AVENUE , SUITE 106",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "708-763-8334",
"fax_number": "630-833-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E SCHILLER ST APT 506",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262852",
"telephone_number": "630-833-5732",
"fax_number": "630-833-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLSEN HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "OKAI",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "ATTEH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "708-763-8334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "D046435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.