Oak Street Health Physicians Group, PC
Clinic/Center, Primary Care in Chicago, IL. Organization (NPI-2).
NPI number1083051643
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1083051643
- Entity type
- Organization (NPI-2)
- Legal business name
- Oak Street Health Physicians Group, PC
- Organization subpart
- No
- Enumeration date
- May 22, 2013
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 036132088 | IL | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
1715 E 95th StChicago, IL 60617-4708
Phone 773-768-4437 · Fax 773-564-3515
Mailing address
Po Box 746721Atlanta, GA 30374-6721
Phone 773-352-1515 · Fax 312-929-0373
Authorized official
Terrence Morton
Cmo
7046074835
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