Organization Active NPI

Bolsen Health Center

  • Primary Care Clinic/Center
  • Elmhurst, IL
National Provider Identifier
1952606147
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D046435 Issued in IL
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

Updated by the provider on Jan 19, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.