Physicians Community Medical Center Oak Forest, S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYSICIANS COMMUNITY MEDICAL CENTER OAK FOREST, S.C.

Practice address

5320 159TH St Ste 203
Oak Forest, IL 60452-3330

Phone

(708) 798-8112

Fax

(708) 535-6396

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Cherise Elmore

Title

Credentialing Specialist

Phone

(708) 798-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1992088157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523334",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST STE 203",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523330",
            "telephone_number": "708-798-8112",
            "fax_number": "708-535-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS COMMUNITY MEDICAL CENTER OAK FOREST, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "708-798-8112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PCMC East
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• Sherry Ann Petro, L.C.S.W.
• Physicians Community Medical Center
• Physicians Community Medical Center North, S.C.
• Physicians Community Medical Specialists
• Physicians Community Pharmacy, Inc
• Jenna C Podjasek, MD
• Tangenise Sharane Porter, LPC
• Sarah James Posey, PA-C

• General Practice Physician in Oak Forest, IL
• Providers in Oak Forest, 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 Sep 18, 2012; 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.