OrganizationActive
Mr.oak
NPI 1164917720 · Adult Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1164917720
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Smith, Medical Director(312) 259-8555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3510 W 79th St
Chicago, IL 60652-1430
Phone: (312) 259-8555
Fax: (773) 978-0705
Street-level locationGet directions
Mailing address
1629 S Prairie Ave Unit 1108
Chicago, IL 60616-5059
Registry dates
- Enumerated
- 2018-06-26
- Last updated
- 2018-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.