Oak Brook MSK LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OAK BROOK MSK LTD

Practice address

2001 Midwest Rd Ste LL22
Oak Brook, IL 60523-1316

Phone

(630) 366-0169

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Eric Schaid

Title

Executive Director

Phone

(630) 366-0169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1952941171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST RD STE LL22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231316",
            "telephone_number": "630-366-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MIDWEST RD STE LL22",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231316",
            "telephone_number": "630-366-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK BROOK MSK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHAID",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-366-0169"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.