CENTRAL DU PAGE HOSPITAL ASSN (NPI# 1821430513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821430513 |
Entity Type | Organization |
Organization Name | CENTRAL DU PAGE HOSPITAL ASSN |
Other Organization Name | NW MEDICINE CONVENIENT CARE |
Practice Address |
2635 Church Rd Aurora IL 60502 |
Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
Practice Telephone | 9526532525 |
Mailing Telephone | 9526532525 |
Enumeration Date | 2013-07-23 |
Last Update Date | 2016-01-25 |
Authorized Official Name | MICHAEL KITTOE (CFO) |
Authorized Official Telephone | 6302084172 |
Is Organization Subpart | Y |
Parent Organization Name | CENTRAL DU PAGE HOSPITAL ASSN |
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 |
Street Address |
2635 CHURCH RD |
City | AURORA |
State | IL |
Zip Code | 60502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
1447206123 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1157 N Eola Rd, Aurora, IL 60502 | 2006-05-25 |
Find all providers in zip 60502 |
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 |
---|---|---|---|---|
1417375759 | Familycare Medical Group PC | Non-Pharmacy Dispensing Site | 18 Wells Rd, Aurora, NY 13026-8724 | 2014-04-03 |
1891053567 | Northern Pines Medical Center | Non-Pharmacy Dispensing Site | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-01 |
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 |
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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.