Oakwell Illinois Physicians PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OAKWELL ILLINOIS PHYSICIANS PLLC

Practice address

2601 S Harlem Ave
Berwyn, IL 60402-2100

Phone

(708) 484-7300

Fax

(708) 484-6185

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Griffin Myers, MDNPI 1871817643

Title

Cmo

Phone

(307) 264-2085

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Griffin Robert Myers, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1871817643
  NPD (past) Authorized official

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1982389375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022100",
            "telephone_number": "708-484-7300",
            "fax_number": "708-484-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022100",
            "telephone_number": "708-484-7300",
            "fax_number": "708-484-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWELL ILLINOIS PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "GRIFFIN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "307-264-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rimas Leo Novickis, D. C.
• Benjamin Nunez
• Kylie O'Connell, BSW
• Chelsey O'Hanlon
• Kathleen Ann O'Hara, LCSW
• Obhg Illinois SC
• Sandra Ocampo
• Christopher Daniel Ochoa, MD
• Oladimeji Ogbara, D.D.S
• Rebecca Annette Ogle

• All providers in Berwyn, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.