DUPAGE HEALTH AND PHYSICAL THERAPY CENTER SC (NPI# 1164586798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164586798 |
| Entity Type | Organization |
| Organization Name | DUPAGE HEALTH AND PHYSICAL THERAPY CENTER SC |
| Practice Address |
1795 S Washington St Ste 109 Naperville IL 60565-2058 |
| Practice Telephone | 6309610259 |
| Practice Fax Number | 6309612406 |
| Mailing Telephone | 6309610259 |
| Mailing Fax Number | 6309612406 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | DR. RICHARD R. FAY (OWNER) |
| Authorized Official Telephone | 6309610259 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 042-618902 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSSBLUE SHIELD | 02232874 | 01 |
| Street Address |
1795 S WASHINGTON ST STE 109 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60565-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972609741 | Lisa M Rose | Chiropractor | 1795 S Washington St Ste 109, Naperville, IL 60565-2058 | 2006-09-16 |
| 1669570677 | Richard R. Fay | Chiropractor | 1795 S Washington St Ste 109, Naperville, IL 60565-2058 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879225 | Rck Medical Services | Electrodiagnostic Medicine | 1837 Auburn Ave, Naperville, IL 60565 | 2018-07-30 |
| 1689058976 | Allison Hilger | Speech-Language Pathologist | 1633 Tulane Drive, Naperville, IL 60565 | 2015-07-16 |
| 1699179010 | Restoration Health & Chiropractic | Chiropractor | 365 E. Bailey Rd., Naperville, IL 60565 | 2014-10-14 |
| 1255612396 | Jennifer Jane Sommer | Dental Hygienist | 931 W. 75th St. #107, Center for Dentistry, Naperville, IL 60565 | 2011-09-02 |
| 1538455233 | Walgreen Co | Pharmacy | 1303 Wehrli Rd, Naperville, IL 60565 | 2011-06-22 |
| 1255623914 | Brady Drew Mcdaniel | Chiropractor | 519 West 87th Street, Naperville, IL 60565 | 2011-05-12 |
| 1821318759 | Mary Jane Verik | Dietitian, Registered | 2029 Mustang Dr., Naperville, IL 60565 | 2010-06-02 |
| 1184879942 | Kristie M. Johnson | Counselor | 1568 Clyde Dr., Naperville, IL 60565 | 2008-11-20 |
| 1063619302 | Rosita E Kilty | Counselor | 2272 95th Street, Suite 305, Naperville, IL 60565 | 2007-06-29 |
| 1922138544 | Richard Joseph Reid | Dentist | 523 W 87th St, Naperville, IL 60565 | 2007-03-06 |
| Find all providers in zip 60565 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1720267008 | Edward Health Ventures | Clinic/Center | 2007 95th St., Suite 112, Naperville, IL 60564 | 2007-11-02 |
| 1871126474 | Northern Illinois Holistic Medicine, Inc. | Clinic/Center | 29 S Webster St Ste 250, Naperville, IL 60540-4560 | 2020-02-21 |
| 1376941088 | Stacey A Cline Dc S.c. | Clinic/Center | 55 S Main St, Suite 294, Naperville, IL 60540-5372 | 2014-12-11 |
| 1851709034 | Edward Health Ventures | Clinic/Center | 127 E Ogden Ave, Naperville, IL 60563-3154 | 2014-07-31 |
| 1063830081 | Edward Health Ventures | Clinic/Center | 120 Spalding Dr, Ste 207, Naperville, IL 60540-6508 | 2014-04-07 |
| 1215367099 | Edward Health Ventures | Clinic/Center | 10 Martin Ave, Ste 225, Naperville, IL 60540-6535 | 2013-11-15 |
| 1073953717 | Edward Health Ventures | Clinic/Center | 100 Spalding Dr, Ste 406, Naperville, IL 60540-6550 | 2013-06-26 |
| 1639496672 | Edward Health Ventures | Clinic/Center | 801 S Washington St, Naperville, IL 60540-7430 | 2010-04-30 |
| 1629301171 | Dr Josephine Polich Dc PC | Clinic/Center | 24w500 Maple Ave, Suite 205, Naperville, IL 60540-6055 | 2009-09-16 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60565 |
Please comment or provide details below to improve the information on DUPAGE HEALTH AND PHYSICAL THERAPY CENTER SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.