CENTRAL DUPAGE HEALTH (NPI# 1720381965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720381965 |
| Entity Type | Organization |
| Organization Name | CENTRAL DUPAGE HEALTH |
| Other Organization Name | NW MEDICINE CONVENIENT CARE |
| Practice Address |
2900 Foxfield Rd St Charles IL 60174-5799 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 6303776500 |
| 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 | DO |
| 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 |
| 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 |
| 1710280953 | Central Dupage Health | Non-Pharmacy Dispensing Site | 636 Raymond Dr, Suite 106, Naperville, IL 60563-9789 | 2010-12-09 |
| 1770732430 | Central Dupage Health | Non-Pharmacy Dispensing Site | 820 Route 59, Bartlett, IL 60103 | 2008-09-17 |
| Street Address |
2900 FOXFIELD RD |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657524 | Vivian S Vanroekel | Internal Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2005-05-23 |
| 1114475522 | Mario Blanquel | Specialist/Technologist | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2016-09-14 |
| 1548637879 | Caitlin Rogers | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2015-08-21 |
| 1780093187 | Elliot Paul Johnson | Physician Assistant | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 2014-08-11 |
| 1518383629 | Rebecca Thulson | Nurse Practitioner | 2900 Foxfield Rd, Suite 101, St Charles, IL 60174-5799 | 2014-03-13 |
| 1831523414 | Jeffrey David Samburg | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-30 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1760776371 | Melissa Fish | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2011-06-01 |
| 1710292727 | Sarah Hourselt | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ST CHARLES |
| Zip Code | 60174 |
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.