# NORTHBROOK OCCUPATIONAL MEDICINE CT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710075833
- **Authorized official:** JOSEPH OSIPOVICH MD MPH (MEDICAL DIRECTOR OWNER)
- **Authorized official phone:** (847) 498-5300

## Contact information

- **Practice address:** 605 ACADEMY DR, NORTHBROOK, IL 60062
- **Practice address phone:** (847) 498-5300
- **Practice address fax:** (847) 498-5366
- **Mailing address:** NOME 605 ACADEMY DR, NORTHBROOK, IL 60062
- **Mailing address phone:** (847) 498-5300
- **Mailing address fax:** (847) 498-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020