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OPEN DOOR CLINIC NPI 1245516939


NPI Information

NPI: 1245516939
Provider Name: OPEN DOOR CLINIC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 14D0415459

Address:
157 S LINCOLN AVE
STE. #K
AURORA, IL
ZIP 60505
Phone: (630) 264-1819
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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 1245516939. 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
STE. #K
AURORA, IL
ZIP 60505-264
Phone: (630) 264-1819
Fax: (630) 264-2054

The provider's authorized official is Carol Winter .
The authorized official title is Manager and has the following contact phone number (630) 264-1819.

The CLIA number assigned to this NPI record is 14D0415459 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/26/2011 and was last updated on 10/26/2011.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1702000MEDICARE PINILLINOIS

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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