ALTAR HEALTHCARE GROUP, PLLC
NPI 1114796687
Family Medicine in Oak Lawn, IL

Active since December 26, 2023CLIA 14D2343316 · Waiver
10448 S PULASKI RD STE 6, OAK LAWN, IL 60453(708) 932-3260 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jan 2, 2024 (2 updates tracked since 2024).

About Altar Healthcare Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAR HEALTHCARE GROUP, PLLC (NPI 1114796687) is a healthcare organization registered as a family medicine in Oak Lawn, Illinois and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through May 4, 2028, maintains a secondary practice location in Springfield, and lists Marybell Ramirez, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1114796687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALTAR HEALTHCARE GROUP, PLLC
Location Address10448 S PULASKI RD STE 6Oak Lawn, IL 60453-4895
Mailing Address10448 S Pulaski Rd Ste 6Oak Lawn, IL 60453-4895 · (708) 932-3260
Organization SubpartNo
Authorized OfficialMarybell RamirezNurse Practitioner · (708) 932-3260
Enumeration DateDecember 26, 2023
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1114796687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
10448 S PULASKI RD STE 6, Oak Lawn, IL 60453

Secondary Practice Location 1

Location 12501 CHATHAM RD STE NSPRINGFIELD, IL 62704 · Phone (773) 704-0626

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2343316

Altar Healthcare Group, PLLC · Oak Lawn, IL
Active · expires May 4, 2028
CLIA Number14D2343316
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorMarybell Ramirez
Laboratory Phone(708) 932-3260
Laboratory LocationAltar Healthcare Group, PLLC10448 S Pulaski Rd, Ste 6, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
10448 S PULASKI RD STE 6
OAK LAWN, IL 60453
Nurse Practitioner (Family)
10448 S PULASKI RD STE 6
OAK LAWN, IL 60453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altar Healthcare Group, PLLC's NPI number?

The NPI number for Altar Healthcare Group, PLLC is 1114796687. It was assigned to this organization in the NPPES registry on December 26, 2023.

Where is Altar Healthcare Group, PLLC located?

Altar Healthcare Group, PLLC is located at 10448 S Pulaski Rd Ste 6, Oak Lawn, IL 60453. The listed phone number is (708) 932-3260.

What is Altar Healthcare Group, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Altar Healthcare Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2343316) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Altar Healthcare Group, PLLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.