D.O.C, FAMILY PRACTICE, S.C. (NPI# 1861750036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861750036 |
| Entity Type | Organization |
| Organization Name | D.O.C, FAMILY PRACTICE, S.C. |
| Practice Address |
6300 Roosevelt Rd Oak Park IL 60304-2303 |
| Mailing Address |
Po Box 2294 Oak Park IL 60303-2294 |
| Practice Telephone | 7083836333 |
| Practice Fax Number | 7083836347 |
| Mailing Telephone | 7083836333 |
| Mailing Fax Number | 7083836347 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | DR. CRYSTAL ANN PEOPLES (PRESIDENT) |
| Authorized Official Telephone | 7083836333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036075404 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 1588775696 | 01 |
| Street Address |
6300 ROOSEVELT RD |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053387571 | Karen Marie Walker | Pediatrics | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2006-02-24 |
| 1174553119 | Pediagroup Associates, S.c. | Pediatrics | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2006-07-04 |
| 1316916885 | Ann Brigid Fischer | Pediatrics | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2006-03-16 |
| 1982672663 | Alka Srivastava | Pediatrics | 6300 Roosevelt Rd, Ste 2, Oak Park, IL 60304-2303 | 2006-03-09 |
| 1902873714 | Cynthia Lauren Gould | Pediatrics | 6300 Roosevelt Rd, Oak Park, IL 60304-2303 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225346885 | Kinfe Gebeyehu | Clinic/Center | 1125 Clinton Ave, Oak Park, IL 60304-1825 | 2010-09-16 |
| 1295900322 | Urban Home Physicians, Inc. | Clinic/Center | 408 Madison St, Oak Park, IL 60302-4091 | 2008-04-29 |
| 1154376234 | Dacia Medical Professional Corporation | Clinic/Center | 917 S Oak Park Ave, Suite B, Oak Park, IL 60304-1950 | 2006-05-24 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1932672391 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-09 |
| 1437544350 | Dabaja Medical Consulting Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2015-03-30 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1790115517 | Datta Sambare Md Sc | Clinic/Center | 6957 North Ave, Oak Park, IL 60302-1068 | 2013-11-14 |
| 1700180171 | Oak Park Pediatrics Ltd. | Clinic/Center | 1107 Chicago Ave, Oak Park, IL 60302-1803 | 2010-12-28 |
| 1649573882 | Mary L. Kelly, D.o., S.c. | Clinic/Center | 1125 Westgate St, Oak Park, IL 60301-1007 | 2010-12-09 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.