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P & D MEDICAL, S.C.
NPI 1124129697
Family Medicine in Oak Lawn, IL

Active since September 26, 2006CLIA 14D0419820 · Waiver
4201 W 95TH ST, OAK LAWN, IL 60453(708) 636-1466(708) 636-0264 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About P & D Medical, S.c. NPPES

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

P & D MEDICAL, S.C. (NPI 1124129697) is a healthcare organization registered as a family medicine in Oak Lawn, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Peter B. Dragisic, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1124129697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameP D MEDICAL, S.C.
Location Address4201 W 95TH STOak Lawn, IL 60453-2615
Mailing Address4201 W 95th StOak Lawn, IL 60453-2615 · (708) 636-1466 · Fax (708) 636-0264
Phone(708) 636-1466
Fax(708) 636-0264
Organization SubpartNo
Authorized OfficialPeter B. DragisicCo-owner · (708) 636-1466
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1124129697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036092116
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.
4201 W 95TH ST, Oak Lawn, IL 60453
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Other Names 1

Doing Business AsP & D Medical, S.c.

Other Identifiers 4

Other01636324IL · Bcbs
OtherDG6568IL · Railroad Medicare
Medicaid016092116IL
Medicare OSCAR/certification214948IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 14D0419820

P & D Medical Sc · Oak Lawn, IL
Active · expires Sep 9, 2027
CLIA Number14D0419820
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorPeter Dragisic MD
Laboratory Phone(708) 636-1466
Laboratory LocationP & D Medical Sc4201 W 95th Street, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DRAGOMIR JOVANOVIC M.D.
Family Medicine
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-1466
OAK LAWN IMMEDIATE CARE LLC
Family Medicine
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (773) 754-3500
DR. PETER B. DRAGISIC M.D.
Family Medicine
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-1466
OAK LAWN IMMEDIATE CARE LLC
Clinic/Center (Urgent Care)
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 499-7661
MRS. SARAH ELIZABETH GONZALES ZOETEMAN FNP
Nurse Practitioner (Family)
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-8546
DR. AMIT AGARWAL MD
Family Medicine
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-1466
MARIA ROWENA R ZAMBAS NP
Nurse Practitioner (Family)
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-8546
AMY FISHER
Nurse Practitioner (Family)
4201 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 420-0182

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 P D Medical, S.C.'s NPI number?

The NPI number for P D Medical, S.C. is 1124129697. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as P & D Medical, S.C..

Where is P D Medical, S.C. located?

P D Medical, S.C. is located at 4201 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 636-1466.

What is P D Medical, S.C.'s specialty?

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

Does P D Medical, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0419820) is associated with this NPI, valid through September 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for P D Medical, S.C. was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.