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SOUTH NAPERVILLE FAMILY PRACTICE LTD. NPI 1306066097


NPI Information

NPI: 1306066097
Provider Name: SOUTH NAPERVILLE FAMILY PRACTICE, LTD.

Other Name: RICHARD J. STESLOW, D.O.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0707159

Address:
2020 OGDEN AVE.
SUITE 400
AURORA, IL
ZIP 60504
Phone: (630) 236-4300
Get Directions

SOUTH NAPERVILLE FAMILY PRACTICE, LTD. is a family medicine in Aurora, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH NAPERVILLE FAMILY PRACTICE, LTD. NPI is 1306066097. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Richard J. Steslow, D.o..

The provider's business location address is:

2020 OGDEN AVE.
SUITE 400
AURORA, IL
ZIP 60504-386
Phone: (630) 236-4300
Fax: (630) 236-4302

The provider's authorized official is Richard J Steslow .
The authorized official title is Owner/president/physician and has the following contact phone number (630) 236-4300.

The CLIA number assigned to this NPI record is 14D0707159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 11/9/2016.


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
1207Q00000XFamily Medicine036085042ILLINOISYes

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
19915169OTHERILLINOISBCBS
2209871MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.