OAK BROOK MEDICAL GROUP LTD
NPI 1366941510
General Practice in Oak Brook, IL

Active since February 02, 2018
2603 W 22ND ST STE 22, OAK BROOK, IL 60523(630) 317-7478(630) 317-7504 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oak Brook Medical Group Ltd NPPES

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

OAK BROOK MEDICAL GROUP LTD (NPI 1366941510) is a healthcare organization registered as a general practice in Oak Brook, Illinois and active in the NPI registry since February 2018. The organization lists Barry Wolf, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1366941510
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOAK BROOK MEDICAL GROUP LTD
Location Address2603 W 22ND ST STE 22Oak Brook, IL 60523-4637
Mailing Address2603 W 22nd St Ste 22Oak Brook, IL 60523-4637 · (630) 317-7478 · Fax (630) 317-7504
Fax(630) 317-7504
Organization SubpartNo
Authorized OfficialBarry WolfBilling Manager · (239) 970-2484
Enumeration DateFebruary 2, 2018
Last NPPES UpdateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1366941510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2603 W 22ND ST STE 22, Oak Brook, IL 60523

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oak Brook Medical Group Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20200729003704DME · Physician - General PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Oak Brook Medical Group Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Chiropractic
NPI 1457136152
2603 W 22ND ST STE 22
Oak Brook, IL 60523
(630) 317-7478
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134677065
2603 W 22ND ST STE 22
Oak Brook, IL 60523
(630) 317-7478
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1497062483
2021 MIDWEST RD STE 100E
Oak Brook, IL 60523
(815) 900-6150
✔ Accepts Medicare0.6 mi
Chiropractic
NPI 1144614587
1811 FREEDOM DR STE 117
Naperville, IL 60563
(815) 690-5218
✔ Accepts Medicare8.0 mi
Interventional Pain Management
NPI 1265490239
101 E 75TH ST SUITE 110
Naperville, IL 60565
(877) 873-7546
✔ PECOS10.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brook Medical Group Ltd's NPI number?

The NPI number for Oak Brook Medical Group Ltd is 1366941510. It was assigned to this organization in the NPPES registry on February 2, 2018.

Where is Oak Brook Medical Group Ltd located?

Oak Brook Medical Group Ltd is located at 2603 W 22nd St Ste 22, Oak Brook, IL 60523. The listed phone number is (630) 317-7478.

What is Oak Brook Medical Group Ltd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Oak Brook Medical Group Ltd enrolled in Medicare?

Yes. Oak Brook Medical Group Ltd is registered in the Medicare PECOS enrollment system.

When is Oak Brook Medical Group Ltd's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - General Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Oak Brook Medical Group Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Oak Brook Medical Group Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (3), Interventional Pain Management (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oak Brook Medical Group Ltd was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.