OPEN DOOR CLINIC OF GREATER ELGIN


Address: 164 Division St, # 607, Elgin, IL 60120-5587
Phone: 8476951093

OPEN DOOR CLINIC OF GREATER ELGIN (NPI# 1255354635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255354635
Entity Type Organization
Organization Name OPEN DOOR CLINIC OF GREATER ELGIN
Practice Address 164 Division St
# 607
Elgin
IL 60120-5587
Practice Telephone 8476951093
Mailing Telephone 8476951093
Enumeration Date 2006-07-26
Last Update Date 2008-05-27
Authorized Official Name MR. DAVID M ROESLER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8476951093
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 164 DIVISION ST
# 607
City ELGIN
State IL
Zip Code 60120-5587

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508858093 Primary Care & Psychiatric Services PC Family Medicine 164 Division St, Ste 617, Elgin, IL 60120-5587 2005-08-19
1194149898 Clarity of Mind Counseling, Inc. Social Worker 164 Division St, Suite 203, Elgin, IL 60120-5587 2014-02-15
1376988196 Jennifer L Winkler Nurse Practitioner 164 Division St, 607, Elgin, IL 60120-5587 2013-05-07
1962719419 Juan P Mercado Nurse Practitioner 164 Division St, 607, Elgin, IL 60120-5587 2010-09-03
1003050741 Laura Christin Paluch Massage Therapist 164 Division St, Suite 509, Elgin, IL 60120-5587 2009-04-24
1225277916 Karen Ann Haggard Social Worker 164 Division St, Suite 203, Elgin, IL 60120-5587 2009-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003391749 Kids Above All Clinic/Center United Methodist Church, 651 Lillie Street, Elgin, IL 60120 2018-09-28
1215483979 Kelly Fetherling Social Worker 6912 S Main St., Elgin, IL 60120 2016-08-31
1164870457 Peter Norton Pharmacist 1038 Summit Street, Elgin, IL 60120 2016-05-27
1417316373 Beverly Brewster Counselor 675 Varsity Dr., Elgin, IL 60120 2016-02-19
1407194780 Well Baby Care PC Pediatrics 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 2013-01-22
1740533546 Vna Health Care Clinic/Center 801 Villa Street, Elgin, IL 60120 2012-10-18
1457638934 Sharon Rose Nemenzo Araneta Physical Therapist 795 Summit St, Elgin, IL 60120 2011-11-10
1770866451 Claudette M Vanhessen Pharmacist 815 Summit Street, Elgin, IL 60120 2011-09-20
1083993430 Monica J. Fudala Family Medicine 820 Summit St # B4, Elgin, IL 60120 2011-08-16
1144517830 Complete Care Medical Center, S.c Family Medicine 373 Summit St Ste 100, Elgin, IL 60120 2011-07-01
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205009487 Daksha N. Mehta M.d.s.c. Clinic/Center 901 Center St Ste 2002, Elgin, IL 60120-2104 2008-04-08
1396014288 Midwest Perinatal Consultants, Sc Clinic/Center 1425 N Randall Rd, Sherman Hosp, Suite 1-2150, Elgin, IL 60123-2300 2011-12-21
1417233727 Rosalind Simon Downing,m.d,f.a.a.p. Inc Clinic/Center 1435 N Randall Rd, Suite 304, Elgin, IL 60123-2306 2011-11-01
1821256355 Maternal Fetal Consultants, Sc Clinic/Center 1425 N Randall Rd, Sherman Hosp, St 1-2150, Elgin, IL 60123-2300 2008-05-30
1881757250 Summitsurg Procedure Center Clinic/Center 431 Summit St, Elgin, IL 60120-3861 2006-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295351062 Sara M Gotheridge Md LLC Clinic/Center 630 Davis St Ste 301, Evanston, IL 60201-4480 2020-06-17
1407484645 Macumber Medical Ltd Clinic/Center 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 2020-04-01
1477181782 Embassy Studios North Clinic/Center 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 2020-03-31
1689226318 Midway Spine and Joint Pain Physicians Clinic/Center 5720 S Pulaski Rd, Chicago, IL 60629-4435 2019-07-12
1215598891 Vero Clinics Clinic/Center 1192 E Pershing Rd, Decatur, IL 62526-4753 2019-06-25
1497215933 Activate Healthcare Clinic/Center 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 2019-03-21
1033699467 Healthpointe Medical Center Sc Clinic/Center 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 2018-08-15
1740794882 Highland Park Cvs, L.L.C. Clinic/Center 72 Airport Plz, Bethalto, IL 62010-1774 2017-11-28
1447764014 Dr Courtney Drendel Inc Clinic/Center 515 Hamilton St # 100, Geneva, IL 60134-2138 2017-11-19
1699206599 David M Conner M.d. Clinic/Center 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 2017-03-22
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Competitor

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City ELGIN
Zip Code 60120

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Dataset Information

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.

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