RUSH OAK PARK PHYSICIANS GROUP LAKE STREET
NPI 1841531456
Internal Medicine in Oak Park, IL

Active since March 06, 2013CLIA 14D2060213 · Waiver
1011 LAKE ST, SUITE 300, OAK PARK, IL 60301(708) 628-0600 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2024, Jun 4, 2024, Oct 4, 2021 (3 updates tracked since 2021).

About Rush Oak Park Physicians Group Lake Street NPPES

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

RUSH OAK PARK PHYSICIANS GROUP LAKE STREET (NPI 1841531456) is a healthcare organization registered as an internal medicine in Oak Park, Illinois and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Scott A Halper, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1841531456
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRUSH OAK PARK PHYSICIANS GROUP LAKE STREET
Location Address1011 LAKE ST, SUITE 300Oak Park, IL 60301-1148
Mailing Address1011 Lake St, Suite 300Oak Park, IL 60301-1148 · (708) 628-0600
Organization SubpartYesParent: Rush Medical Group
Authorized OfficialScott A HalperAuthorized Official · (312) 942-7770
Enumeration DateMarch 6, 2013
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1841531456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
1011 LAKE ST, Oak Park, IL 60301

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rush Oak Park Physicians Group Lake Street is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Rush Oak Park Physicians Group Lake Street, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1285670273
1011 LAKE ST
Oak Park, IL 60301
(708) 628-0600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1013961861
1011 LAKE ST SUITE 300
Oak Park, IL 60301
(708) 628-0600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1396703070
7411 LAKE ST STE L-120
River Forest, IL 60305
(708) 488-1919
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1710768775
610 S MAPLE AVE STE 4600
Oak Park, IL 60304
(312) 708-6602
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1992501837
1625 N HARLEM AVE
Chicago, IL 60707
(708) 660-3111
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1427498732
3600 W. FULLERTON AVENUE
Chicago, IL 60647
(773) 782-2800
✔ PECOS✔ Accepts Medicare5.0 mi
Family Practice
NPI 1245527852
1725 W HARRISON ST STE 955
Chicago, IL 60612
(312) 942-7030
✔ PECOS✔ Accepts Medicare6.8 mi

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

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 14D2060213

Rush Oak Park Physicians Group Lake Street · Oak Park, IL
Active · expires Jun 6, 2027
CLIA Number14D2060213
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMichele Carlon
Laboratory Phone(708) 366-7911
Laboratory LocationRush Oak Park Physicians Group Lake Street1011 Lake St, Ste 300, Oak Park, IL 60301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Rush Oak Park Physicians Group Lake Street's NPI number?

The NPI number for Rush Oak Park Physicians Group Lake Street is 1841531456. It was assigned to this organization in the NPPES registry on March 6, 2013.

Where is Rush Oak Park Physicians Group Lake Street located?

Rush Oak Park Physicians Group Lake Street is located at 1011 Lake St Suite 300, Oak Park, IL 60301. The listed phone number is (708) 628-0600.

What is Rush Oak Park Physicians Group Lake Street's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rush Oak Park Physicians Group Lake Street enrolled in Medicare?

Yes. Rush Oak Park Physicians Group Lake Street is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rush Oak Park Physicians Group Lake Street?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Rush Oak Park Physicians Group Lake Street. 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 Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rush Oak Park Physicians Group Lake Street hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2060213) is associated with this NPI, valid through June 6, 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 Rush Oak Park Physicians Group Lake Street was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.