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DEKALB CLINIC CHARTERED NPI 1447277140


NPI Information

NPI: 1447277140
Provider Name: DEKALB CLINIC CHARTERED
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1850 GATEWAY DR
SYCAMORE, IL
ZIP 60178
Phone: (815) 758-8671
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DEKALB CLINIC CHARTERED is an internal medicine in Sycamore, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEKALB CLINIC CHARTERED NPI is 1447277140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1850 GATEWAY DR
SYCAMORE, IL
ZIP 60178-192
Phone: (815) 758-8671
Fax: (815) 758-5610

The provider's authorized official is Roger L Haab .
The authorized official title is Chairman, Board Of Directors and has the following contact phone number (815) 758-8671.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 4/30/2013.


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
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalNo
3163WW0000XRegistered NurseWound CareNo
4207K00000XAllergy & ImmunologyNo
5207N00000XDermatology036119759ILLINOISNo
6207RC0000XInternal MedicineCardiovascular DiseaseNo
7207W00000XOphthalmology036120383ILLINOISNo
8208000000XPediatricsNo
92084P0800XPsychiatry & NeurologyPsychiatryNo
10208600000XSurgeryNo
11208800000XUrologyNo
12213ES0103XPodiatristFoot & Ankle Surgery016-005282ILLINOISNo
13207RP1001XInternal MedicinePulmonary DiseaseILLINOISNo
14133V00000XDietitian, RegisteredILLINOISNo
15207R00000XInternal MedicineYes

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
15275700001MEDICARE NSCILLINOIS
2148547OTHERILLINOISMC INDEPENDENT LAB
3663680OTHERILLINOISMEDICARE-GROUP ID
41421279OTHERILLINOISNABP
514D0415284OTHERILLINOISCLIA #

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: 4/28/2024

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.