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Deactivated NPI 1104823012 Deactivated / Inactive NPI Female Practitioner

Dr. Olive Oh , MD

Internal Medicine - Nephrology • Mount Prospect, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Olive Oh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date February 24, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Olive Oh, MD was a registered Internal Medicine - Nephrology practicing in Mount Prospect, IL. Throughout an active medical career spanning 15 years, Dr. Oh provided care at the practice location at 601 W GOLF RD until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

601 W Golf Rd
Suite 105

Mount Prospect, IL 600564276

Telephone 8472980600
Fax 8474398940
Associated Practice Facility / Clinic
🏢 American Picc Institute, Llc Facility NPI 1033666961

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Mount Prospect, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Mount Prospect, IL (598 Statewide)

Telehealth Adoption Rate
87.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IL 036052230

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Venkata Behara , MD

Internal Medicine - Nephrology

NPI 1376728113

Doctor of Medicine (M.D.)

Dr. Manish Tanna , MD

Internal Medicine - Nephrology

NPI 1821096470

Doctor of Medicine (M.D.)

Colleen Scholl , NP

Nurse Practitioner

NPI 1821381500

Nurse Practitioner

Dr. Evgueni Minev , MD

Internal Medicine - Nephrology

NPI 1922119643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2011

Registered at 601 W GOLF RD, SUITE 105, MOUNT PROSPECT, IL 600564276 (Tel: 8472980600)

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Updated Business Mailing Address October 19, 2011

Registered at 855 MADISON ST, OAK PARK, IL 603024420 (Tel: 7084924531)

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Provider Name / Credentials Updated October 19, 2011

Recorded as OLIVE OH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Internal Medicine (License #036052230 in IL)

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Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104823012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: October 19, 2011
Deactivation Date: February 24, 2020

Mailing Address

855 Madison St

Oak Park, IL 603024420

Phone: 7084924531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.