MR.OAK – NPI #1164917720
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MR.OAK is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1164917720 to MR.OAK on June 26, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MR.OAK below.

NPI Profile for
MR.OAK

NPI Number
1164917720
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MR.OAK
Primary location
3510 W 79TH ST
CHICAGO, IL 60652-1430
Phone: (312) 259-8555 Fax: (773) 978-0705
Mailing address
1629 S PRAIRIE AVE UNIT 1108
CHICAGO, IL 60616-5059
Phone: (312) 259-8555 Fax: (773) 978-0705
Organization Subpart
No
Authorized Official
STEVEN SMITH
MEDICAL DIRECTOR
Phone: (312) 259-8555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.