OPEN DOOR CLINIC (NPI# 1245516939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245516939 |
| Entity Type | Organization |
| Organization Name | OPEN DOOR CLINIC |
| Practice Address |
157 S Lincoln Ave Ste. #k Aurora IL 60505-4264 |
| Mailing Address |
164 Division St Ste #607 Elgin IL 60120-5587 |
| Practice Telephone | 6302641819 |
| Practice Fax Number | 6302642054 |
| Mailing Telephone | 8476951093 |
| Mailing Fax Number | 8476950501 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | CAROL WINTER (MANAGER) |
| Authorized Official Telephone | 6302641819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902555 | Open Door Clinic | Counselor | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4264 | 2015-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPEN DOOR CLINIC | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Vermont Business Registrations | OPEN DOOR CLINIC | 100 Porter Dr, Middlebury, VT 05753 |
| Street Address |
157 S LINCOLN AVE STE. #K |
| City | AURORA |
| State | IL |
| Zip Code | 60505-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601450 | Luna P Navarez | Family Medicine | 157 S Lincoln Ave, Suite E, Aurora, IL 60505-4264 | 2006-03-07 |
| 1174902555 | Open Door Clinic | Counselor | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4264 | 2015-05-19 |
| 1215278304 | Shannon M Lane | Counselor | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4264 | 2013-03-14 |
| 1932375169 | Community Health Partnership of Illinois | Clinic/Center | 157 S Lincoln Ave, Suite D, Aurora, IL 60505-4264 | 2008-05-07 |
| 1568636686 | Mario F. Rincon, Dds, PC | Dentist | 157 S Lincoln Ave, Ste B, Aurora, IL 60505-4264 | 2008-04-18 |
| 1962525691 | Community Health Partnership of Illinois | Clinic/Center | 157 S Lincoln Ave, Suite C, Aurora, IL 60505-4264 | 2007-04-09 |
| 1760525729 | Mario F Rincon | Dentist | 157 S Lincoln Ave, Suite B, Aurora, IL 60505-4264 | 2007-02-15 |
| 1952442568 | Lincoln Medical Apothecary, Inc. | Pharmacy | 157 S Lincoln Ave, Aurora, IL 60505-4264 | 2007-02-08 |
| 1114068624 | John O'dwyer Jr. | Pharmacist | 157 S Lincoln Ave, Aurora, IL 60505-4264 | 2007-02-08 |
| 1316992936 | Phi-nga Minh Le | Internal Medicine | 157 S Lincoln Ave, #d, Aurora, IL 60505-4264 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285897850 | Lindsay K Nicholson | Internal Medicine | 1700 Wheeling St (111l), Aurora, CO 80045 | 2008-07-03 |
| 1063610939 | Sara Jane Scherrer | Internal Medicine | 1635 Aurora Ct Fl 7, Aurora, CO 80045-2541 | 2007-07-03 |
| 1164021838 | University Physicians Incorporated | Internal Medicine | 12348 E Montview Blvd, Aurora, CO 80045-7103 | 2020-10-22 |
| 1831678531 | University Physicians Incorporated | Internal Medicine | 1635 Aurora Ct Fl 7, Aurora, CO 80045-2541 | 2018-08-13 |
| 1225413644 | Sarah Mann | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-07-27 |
| 1659752939 | Yiannis Koullias | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-06-12 |
| 1407234198 | Sara Gore | Internal Medicine | 1550 S Potomac St Ste 270, Aurora, CO 80012-5456 | 2015-05-13 |
| 1376930578 | Sias Scherger | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045 | 2015-04-25 |
| 1598152647 | Abir Hussein | Internal Medicine | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2015-04-15 |
| 1619395191 | Paul N Siebert | Internal Medicine | 1635 Aurora Ct Fl 7, Aurora, CO 80045-2541 | 2014-04-02 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.