CENTRAL DUPAGE HEALTH (NPI# 1710280953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710280953 |
| Entity Type | Organization |
| Organization Name | CENTRAL DUPAGE HEALTH |
| Other Organization Name | NW MEDICINE CONVENIENT CARE |
| Practice Address |
636 Raymond Dr Suite 106 Naperville IL 60563-9789 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 6304162300 |
| Mailing Telephone | 9526532568 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | MAURA MCKAY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9526532568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL DUPAGE HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| NW Medicine Convenient Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740313733 | Central Dupage Health | Pathology | Dept 4003, Carol Stream, IL 60122-4698 | 2007-03-13 |
| 1720381965 | Central Dupage Health | Non-Pharmacy Dispensing Site | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-12-09 |
| 1164725313 | Central Dupage Health | Non-Pharmacy Dispensing Site | 235 S Gary Ave, Bloomingdale, IL 60108-2213 | 2010-12-09 |
| 1437452679 | Central Dupage Health | Non-Pharmacy Dispensing Site | 7 Blanchard Cir, Wheaton, IL 60189-2037 | 2010-12-09 |
| 1356644595 | Central Dupage Health | Non-Pharmacy Dispensing Site | 885 Roosevelt Rd, Suite 101, Glen Ellyn, IL 60137-6168 | 2010-12-09 |
| 1770732430 | Central Dupage Health | Non-Pharmacy Dispensing Site | 820 Route 59, Bartlett, IL 60103 | 2008-09-17 |
| Street Address |
636 RAYMOND DR SUITE 106 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250642 | Sean Patrick Mccormick | Pediatrics | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2005-07-28 |
| 1528465614 | Melissa Mandra | Audiologist | 636 Raymond Dr, Suite 203, Naperville, IL 60563-9789 | 2014-12-04 |
| 1407269939 | Lauren Marie Panner | Registered Nurse | 636 Raymond Dr, Naperville, IL 60563-9791 | 2014-06-02 |
| 1740523539 | Jill Katherine Cotseones | Dermatology | 636 Raymond Dr, Naperville, IL 60563 | 2013-04-01 |
| 1285981167 | Elizabeth J Delass | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-09 |
| 1386991552 | Michaela Campagnolo | Physical Therapist | 636 Raymond Dr, Suite 305, Naperville, IL 60563-9789 | 2012-08-07 |
| 1720366636 | Lauren Nicole Taglia | Dermatology | 636 Raymond Dr, Naperville, IL 60563-9791 | 2011-07-26 |
| 1881972990 | Karen L Camporese | Physical Therapist | 636 Raymond Dr, Suite 104a, Naperville, IL 60563-9789 | 2011-07-25 |
| 1023304862 | Molly Purkart | Physical Therapist | 636 Raymond Dr, Suite 200, Naperville, IL 60563-9789 | 2011-06-20 |
| 1659675601 | Kimberly Anne Gubbins | Nurse Practitioner | 636 Raymond Dr, Suite 205, Naperville, IL 60563-9789 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118057 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 263 Shuman Boulevard, Suite 125, Naperville, IL 60563 | 2019-01-16 |
| 1609215805 | Edward Health Services Corporation | Non-Pharmacy Dispensing Site | 801 S Washington St, Naperville, IL 60540-7430 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on CENTRAL DUPAGE HEALTH.
| 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.