NPI 1003851122

Great Oaks Medical Care Sc

Organisation Specialist Oak Brook, IL

Practice location

Address: 2425 W 22nd St Suite 206, Oak Brook, IL 60523-1245
Phone: (630) 335-6228
Fax: (630) 990-2998

Authorised official

Name: Duane Lambert
Title: Owner
Phone: (630) 335-6228

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036109590 (IL)

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Registry record

NPI: 1003851122
Entity type: Organization
NPI issued: 20 Jun 2006
Record last updated: 6 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.