NPI 1114796687 · live from the CMS NPI Registry
Altar Healthcare Group, PLLC
Family Medicine in Oak Lawn, IL. National Provider Identifier 1114796687, active.
NPI record
| NPI | 1114796687 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 10448 S Pulaski Rd Ste 6, Oak Lawn, IL 60453 |
| Practice phone | 708-932-3260 |
| Enumerated | December 26, 2023 |
| Last updated | April 5, 2026 |
| Authorized official | Marybell Ramirez, Nurse Practitioner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | — |
| Podiatrist | 213E00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Dermatology | 207N00000X | — |
| Ophthalmology | 207W00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.