DREYER MEDICAL GROUP LTD NPI 1891738654

NPI Information

NPI: 1891738654
Provider Name: DREYER MEDICAL GROUP, LTD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1870 W GALENA BLVD
AURORA, IL
ZIP 60506
Phone: (630) 859-6700
Get Directions

DREYER MEDICAL GROUP, LTD is a multi-specialty clinic center in Aurora, IL. DREYER MEDICAL GROUP, LTD NPI is 1891738654. The provider is registered as an organization entity type.

The provider's business location address is:

1870 W GALENA BLVD
AURORA, IL
ZIP 60506-356
Phone: (630) 859-6700

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

The enumeration date for this NPI number is 6/13/2006 and was last updated on 12/3/2015.

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	42007794	ILLINOIS	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 #
2	576560	MEDICARE PIN	ILLINOIS
3	207710	MEDICARE PIN	ILLINOIS
4	CC6674	MEDICARE PIN	ILLINOIS
5	0727500001	MEDICARE NSC	ILLINOIS
6	205036	MEDICARE PIN	INDIANA
7	390362	MEDICARE PIN	ILLINOIS
8	207989	MEDICARE PIN	ILLINOIS
9	205037	MEDICARE PIN	ILLINOIS
10	208010	MEDICARE PIN	ILLINOIS
11	390361	MEDICARE PIN	ILLINOIS
12	576460	MEDICARE PIN	ILLINOIS
13	0727500002	MEDICARE NSC	ILLINOIS
14	CD3870	MEDICARE PIN	ILLINOIS
15	576550	MEDICARE PIN	ILLINOIS

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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