DREYER MEDICAL GROUP LTD NPI 1194948463

NPI Information

NPI: 1194948463
Provider Name: DREYER MEDICAL GROUP LTD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4100 HEALTHWAY DR
AURORA, IL
ZIP 60504
Phone: (630) 851-3105
Get Directions

DREYER MEDICAL GROUP LTD is a multi-specialty clinic center in Aurora, IL. DREYER MEDICAL GROUP LTD NPI is 1194948463. The provider is registered as an organization entity type.

The provider's business location address is:

4100 HEALTHWAY DR
AURORA, IL
ZIP 60504-163
Phone: (630) 851-3105

The provider's authorized official is Suzanne M. Rosales .
The authorized official title is Chief Financial Officer and has the following contact phone number (630) 907-3944.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 12/14/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04515143	OTHER	ILLINOIS	BLUE SHIELD PROVIDER #

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

NPI Synchronization or Removal

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