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ACADEMIC ENDOCRINE METABOLISM & NUTRITION NPI 1912963919


NPI Information

NPI: 1912963919
Provider Name: ACADEMIC ENDOCRINE METABOLISM & NUTRITION
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
120 SPALDING DR
SUITE 401
NAPERVILLE, IL
ZIP 60540
Phone: (630) 416-4501
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ACADEMIC ENDOCRINE METABOLISM & NUTRITION is an endocrinology and diabetes and metabolism internal medicine in Naperville, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ACADEMIC ENDOCRINE METABOLISM & NUTRITION NPI is 1912963919. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

120 SPALDING DR
SUITE 401
NAPERVILLE, IL
ZIP 60540-508
Phone: (630) 416-4501
Fax: (630) 416-4504

The provider's authorized official is Daesman Suri .
The authorized official title is Endocrinologist and has the following contact phone number (630) 416-4501.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/12/2008.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism042617401ILLINOISYes

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
1336075844OTHERILLINOISCS LICENSE #
2BS9557490OTHERILLINOISDEA NUMBER
3036108885OTHERILLINOISILLINOIS PROFESSIONAL LIC

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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