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OAK STREET HEALTH: EDGEWATER
NPI 1194164202
Clinic/Center - Primary Care in Chicago, IL

Active since June 21, 2013CLIA Certified · 5 labs
1541 W DEVON AVE, CHICAGO, IL 60660(312) 810-8763 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oak Street Health: Edgewater NPPES

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

OAK STREET HEALTH: EDGEWATER (NPI 1194164202) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since June 2013. The organization holds 5 active CLIA laboratory certificates and lists Griffin Myers, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1194164202
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOAK STREET HEALTH: EDGEWATER
Location Address1541 W DEVON AVEChicago, IL 60660-1313
Mailing Address327 W Belden Ave, #3Chicago, IL 60614-3817
Phone(312) 810-8763
Organization SubpartYesParent: Oak Street Health
Authorized OfficialGriffin MyersChief Medical Officer · (773) 412-3000
Enumeration DateJune 21, 2013
✔ NPI 1194164202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1541 W DEVON AVE, Chicago, IL 60660
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 5

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 14D2060121

Oak Street Health - Edgewater Center · Chicago, IL
Active · expires Jun 5, 2027
CLIA Number14D2060121
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorGriffin R. Meyers
Laboratory Phone(773) 412-3000
Laboratory LocationOak Street Health - Edgewater Center1541 W Devon Ave, Chicago, IL 60660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2077791

Oak Street Health · Chicago, IL
Active · expires May 13, 2028
CLIA Number14D2077791
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorMegan R. Romine
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health3348 W 87th St, Chicago, IL 60652
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2236167

Oak Street Health · Chicago, IL
Active · expires Sep 14, 2027
CLIA Number14D2236167
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorGriffin R. Myers
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health2335 S Wentworth Ave - Ste B, Chicago, IL 60616
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2288768

Oak Street Health · Chicago, IL
Active · expires Aug 29, 2027
CLIA Number14D2288768
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorMegan Romine
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health1819 N Harlem Ave, Chicago, IL 60707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2285135

Oak Street Health · Chicago, IL
Active · expires Jul 5, 2027
CLIA Number14D2285135
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorMichele Mitchell
Laboratory Phone(844) 808-8262
Laboratory LocationOak Street Health6918 W Archer Ave, Chicago, IL 60638
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MS. GIANNA NOELLE MARTELLI LCSW
Social Worker (Clinical)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
EMMA FLORES
Social Worker (Clinical)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
DANNY MICHAEL MSW, LSW
Social Worker (Clinical)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
NATALYA VLADIMIRSKIY M.D.
Internal Medicine
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
ELLEN R WALUKAS DNP
Nurse Practitioner (Family)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
MS. DEBRA FRANCES FOX FNP
Nurse Practitioner (Family)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
MS. ANGELA D ROGERS FNP, MSN
Nurse Practitioner (Family)
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222
ANDREA MINA KHOSROPOUR MD
Family Medicine
1541 W DEVON AVE
CHICAGO, IL 60660
Cook County (773) 250-5222

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 Oak Street Health: Edgewater's NPI number?

The NPI number for Oak Street Health: Edgewater is 1194164202. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Oak Street Health: Edgewater located?

Oak Street Health: Edgewater is located at 1541 W Devon Ave, Chicago, IL 60660. The listed phone number is (312) 810-8763.

What is Oak Street Health: Edgewater's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Oak Street Health: Edgewater hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Oak Street Health: Edgewater was last updated on June 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.