FAMILY DOCTOR'S OF DUPAGE S.C. NPI 1003010554

NPI Information

  • NPI: 1003010554
  • Provider Name: FAMILY DOCTOR'S OF DUPAGE, S.C.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ADVANCED INTEGRATIVE HEALTHCARE
  • CLIA Number: 14D0415196
  • Address: 245 S GARY AVE
    SUITE 105
    BLOOMINGDALE, IL
    ZIP 60108
  • Phone: (630) 893-9661

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NPI Details

FAMILY DOCTOR'S OF DUPAGE, S.C. is a primary care clinic center in Bloomingdale, IL. FAMILY DOCTOR'S OF DUPAGE, S.C. NPI is 1003010554. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Integrative Healthcare.

The provider's business location address is:

245 S GARY AVE
SUITE 105
BLOOMINGDALE, IL
ZIP 60108-228
Phone: (630) 893-9661
Fax: (630) 893-5665

The provider's authorized official is William L. Epperly .
The authorized official title is President and has the following contact phone number (630) 893-9661.

The CLIA number assigned to this NPI record is 14D0415196 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2007 and was last updated on 8/22/2020.

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
1261QP2300XClinic/CenterPrimary CareILLINOISYes

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: 3/30/2025

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