DREYER CLINIC INC NPI 1861866857

NPI Information

NPI: 1861866857
Provider Name: DREYER CLINIC, INC

Doing Business As: DREYER MEDICAL CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D0421940

Address:
80 TEMPLETON DR
OSWEGO, IL
ZIP 60543
Phone: (630) 554-3456
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DREYER CLINIC, INC is a multi-specialty clinic center in Oswego, IL. DREYER CLINIC, INC NPI is 1861866857. The provider is registered as an organization entity type.
The provider Is Doing Business As Dreyer Medical Clinic.

The provider's business location address is:

80 TEMPLETON DR
OSWEGO, IL
ZIP 60543-000
Phone: (630) 554-3456

The provider's authorized official is Nan Nelson .
The authorized official title is Evp Financial Ops and has the following contact phone number (414) 299-1610.

The CLIA number assigned to this NPI record is 14D0421940 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2015 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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