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OPEN DOOR CLINIC NPI 1174902555


NPI Information

NPI: 1174902555
Provider Name: OPEN DOOR CLINIC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
157 S LINCOLN AVE
SUITE K
AURORA, IL
ZIP 60505
Phone: (630) 264-1819
Get Directions

OPEN DOOR CLINIC is an infectious disease internal medicine in Aurora, IL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. OPEN DOOR CLINIC NPI is 1174902555. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 S LINCOLN AVE
SUITE K
AURORA, IL
ZIP 60505-264
Phone: (630) 264-1819
Fax: (630) 229-0182

The provider's authorized official is David Roesler .
The authorized official title is Executive Director and has the following contact phone number (630) 707-7704.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 5/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4363LA2100XNurse PractitionerAcute CareNo
5363LF0000XNurse PractitionerFamilyNo
6207RI0200XInternal MedicineInfectious DiseaseYes

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: 11/14/2023

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