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NPI Code Detail

MEDICARE: OAK STREET HEALTH PHYSICIANS GROUP PC

MEDICARE: OAK STREET HEALTH PHYSICIANS GROUP PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1144660085
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK STREET HEALTH PHYSICIANS GROUP PC
Provider Business Mailing Address
First Line : PO BOX 746721
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6721
Country : US
Telephone Number : 773-352-1515
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 773-352-1515
Fax Number : 312-929-0373
Authorized Official
Title or Position : PRESIDENT
Name : DAVID G. FAIRCHILD
Credential :
Telephone Number : 508-334-8780
Provider Enumeration Date : 06/25/2013
Last Update Date : 04/18/2025

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Directions to “OAK STREET HEALTH PHYSICIANS GROUP PC ” Practice Location

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