Provider Demographics
NPI:1902000722
Name:OAK LAWN PEDIATRICS LTD.
Entity Type:Organization
Organization Name:OAK LAWN PEDIATRICS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-655-9044
Mailing Address - Street 1:371 TRINITY LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2565
Mailing Address - Country:US
Mailing Address - Phone:630-655-9044
Mailing Address - Fax:630-655-9050
Practice Address - Street 1:371 TRINITY LN
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2565
Practice Address - Country:US
Practice Address - Phone:630-655-9044
Practice Address - Fax:630-655-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care