FOX VALLEY DERMATOLOGY, LTD. (NPI# 1902989106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989106 |
| Entity Type | Organization |
| Organization Name | FOX VALLEY DERMATOLOGY, LTD. |
| Practice Address |
2972 Indian Trail Rd Aurora IL 60502-9408 |
| Mailing Address |
6476 New Albany Rd Lisle IL 60532-3237 |
| Practice Telephone | 6302364257 |
| Practice Fax Number | 6302364241 |
| Mailing Telephone | 6305368552 |
| Mailing Fax Number | 6305368553 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | KATHLEEN ANN REMLINGER (PRESIDENT) |
| Authorized Official Telephone | 6302364257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
IL | Ambulatory Health Care Facilities |
| Street Address |
2972 INDIAN TRAIL RD |
| City | AURORA |
| State | IL |
| Zip Code | 60502-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418653 | Gina Lesnik | Family Medicine | 2972 Indian Trail Rd, Aurora, IL 60502-9408 | 2005-09-21 |
| 1194836247 | Rush Copley Medical Group | Family Medicine | 2972 Indian Trail Rd, Suite A, Aurora, IL 60502-9408 | 2006-08-31 |
| 1134115629 | Christopher Stallter | Family Medicine | 2972 Indian Trail Rd, Aurora, IL 60502-9408 | 2005-09-21 |
| 1174519664 | Patricia Kinsella-stallter | Family Medicine | 2972 Indian Trail Rd, Aurora, IL 60502-9408 | 2005-09-21 |
| 1699761189 | Kristen Ufferman | Family Medicine | 2972 Indian Trail Rd, Aurora, IL 60502-9408 | 2005-09-21 |
| 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 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 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 |
| Find all providers in zip 60502 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972014785 | Peter L. Weingarten Md PC | Clinic/Center | 1411 S Potomac St Ste 400, Aurora, CO 80012-4540 | 2017-10-19 |
| 1194266809 | Briar Rose Medical Group,llc | Clinic/Center | 3350 Peoria St, Ste 120, Aurora, CO 80010-1483 | 2017-03-14 |
| 1942648480 | Neuro Clinic of Colorado LLC | Clinic/Center | 1400 S Potomac St Ste 220, Aurora, CO 80012-4514 | 2013-06-06 |
| 1922359371 | Cherry Creek Suboxone Clinic,llc | Clinic/Center | 3191 S Vaughn Way, Aurora, CO 80014-3505 | 2012-09-25 |
| 1801183686 | Rocky Mountain Smell Taste Allergy and Ent Clinic Pllc | Clinic/Center | 2620 S Parker Rd, Suite 375, Aurora, CO 80014-1608 | 2011-06-30 |
| 1730489378 | Aurora Women's Clinic | Clinic/Center | 14991 E Hampden Ave, Suite 165, Aurora, CO 80014-3983 | 2010-10-29 |
| 1184784258 | Weston Neurology | Clinic/Center | 330 Weston Ave, Aurora, IL 60505-4767 | 2006-12-11 |
| 1255490355 | West Aurora Anesthesiology,ltd. | Clinic/Center | 330 Weston Ave, Aurora, IL 60505-4767 | 2006-12-06 |
| 1689764615 | Tehmina Bajwa Mdsc | Clinic/Center | 2424 W Indian Trl, Ste B, Aurora, IL 60506-1568 | 2006-10-13 |
| 1205846052 | Heart Horizons LLC Dba Rush Copley Cardiac Diagnostic Center | Clinic/Center | 2088 Ogden Ave, Suite 150, Aurora, IL 60504-4376 | 2006-08-08 |
| 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.