DREYER MEDICAL GROUP LTD (NPI# 1265655534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265655534 |
| Entity Type | Organization |
| Organization Name | DREYER MEDICAL GROUP LTD |
| Practice Address |
80 Templeton Dr Oswego IL 60543-7000 |
| Mailing Address |
2357 Sequoia Dr Aurora IL 60506-6222 |
| Practice Telephone | 6305543456 |
| Mailing Telephone | 6308596800 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | SUZANNE M. ROSALES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6309073944 |
| Is Organization Subpart | Y |
| Parent Organization Name | DREYER CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD PROVIDER # | 04515143 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093938748 | Dreyer Medical Group Ltd | Clinic/Center | 2500 W Fabyan Parkway, Batavia, IL 60510-1572 | 2007-04-11 |
| 1104103159 | Dreyer Medical Group Ltd | Clinic/Center | 2424 W Indian Trl, Suite B, Aurora, IL 60506-1568 | 2011-11-04 |
| 1336425594 | Dreyer Medical Group Ltd | Clinic/Center | 2424 W Indian Trl, Suite A, Aurora, IL 60506-1568 | 2011-11-01 |
| 1912135369 | Dreyer Medical Group Ltd | Prosthetic/Orthotic Supplier | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2009-06-24 |
| 1174746440 | Dreyer Medical Group Ltd | Clinic/Center | 24508 W Village Ctr Dr, Plainfield, IL 60544-1885 | 2007-04-11 |
| 1194948463 | Dreyer Medical Group Ltd | Clinic/Center | 4100 Healthway Dr, Aurora, IL 60504-4163 | 2007-04-11 |
| 1003039371 | Dreyer Medical Group Ltd | Clinic/Center | 741 E Lincoln Ave, Hinckley, IL 60520-9500 | 2007-04-11 |
| 1912120288 | Dreyer Medical Group Ltd | Clinic/Center | 1221 N Highland Ave, Aurora, IL 60506-1404 | 2007-04-11 |
| 1679796940 | Dreyer Medical Group Ltd | Clinic/Center | 2040 Ogden Ave, Ste 401, Aurora, IL 60504-7208 | 2007-04-11 |
| 1396968665 | Dreyer Medical Group Ltd | Clinic/Center | 1877 W Downer Pl, Aurora, IL 60506-7302 | 2007-04-11 |
| Street Address |
80 TEMPLETON DR |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918624 | Alan Summers | Psychiatry & Neurology | 80 Templeton Dr, Oswego, IL 60543 | 2006-03-29 |
| 1528585254 | Luis Carlos Salgado | Specialist/Technologist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2017-08-24 |
| 1184086381 | Nicole Phelps | Pediatrics | 80 Templeton Dr, Oswego, IL 60543 | 2016-03-26 |
| 1861866857 | Dreyer Clinic, Inc | Clinic/Center | 80 Templeton Dr, Oswego, IL 60543-7000 | 2015-11-14 |
| 1285021964 | Raquel T Robles | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2015-04-21 |
| 1053719989 | Heidi A. Solache | Social Worker | 80 Templeton Dr, Oswego, IL 60543-7000 | 2014-12-09 |
| 1932518677 | Brian E Bade | Nurse Practitioner | 80 Templeton Dr, Oswego, IL 60543-7000 | 2014-08-06 |
| 1396162756 | Bryan Richard Sweeney | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2014-03-24 |
| 1194150763 | Peter Thomas Rasmussen | Physical Therapist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2013-09-13 |
| 1912348855 | Abby Elizabeth Schenk | Physical Therapist | 80 Templeton Dr, Oswego, IL 60543-7000 | 2013-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866857 | Dreyer Clinic, Inc | Clinic/Center | 80 Templeton Dr, Oswego, IL 60543-7000 | 2015-11-14 |
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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.