MEDICARE: OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1083624837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DRIVE
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4625
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:	972-387-8058

Provider Business Practice Location Address
First Line	:	900 EAST 103RD STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628
Country	:	US
Telephone Number	:	773-468-2963
Fax Number	:	773-468-2975

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	RAAD A YALDO
Credential	:	DO
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	06/20/2025

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