Oak Brook Clinic, Llc
LBN: Oak Brook Clinic, Llc
Oak Brook Clinic, Llc is an health care organization with primary practice located at 2605 W 22Nd St Ste 29 , Oak Brook IL 60523-4625. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Oak Brook Clinic, Llc can be contacted via phone (630) 819-8100, or through Weiss, Jim P via phone (402) 339-1436.
Contact Information
Primary practice address
2605 W 22Nd St Ste 29
Oak Brook IL 60523-4625
Phone: (630) 819-8100
Fax: (630) 568-3362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1508492745 |
|---|---|
| LBN Legal business name | Oak Brook Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Weiss, Jim P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2020 |
| Last updated | Aug 5th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508492745 | NPPES |
| Illinois | Other | A-2158-0000-A | STATE OF ILLINOIS, SUPR |
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