CENTRAL DUPAGE HEALTH (NPI# 1356644595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356644595 |
| Entity Type | Organization |
| Organization Name | CENTRAL DUPAGE HEALTH |
| Other Organization Name | NW MEDICINE CONVENIENT CARE |
| Practice Address |
885 Roosevelt Rd Suite 101 Glen Ellyn IL 60137-6168 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 6303846200 |
| Mailing Telephone | 9526532568 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | MAURA MCKAY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9526532568 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL DUPAGE HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| NW Medicine Convenient Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740313733 | Central Dupage Health | Pathology | Dept 4003, Carol Stream, IL 60122-4698 | 2007-03-13 |
| 1720381965 | Central Dupage Health | Non-Pharmacy Dispensing Site | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-12-09 |
| 1164725313 | Central Dupage Health | Non-Pharmacy Dispensing Site | 235 S Gary Ave, Bloomingdale, IL 60108-2213 | 2010-12-09 |
| 1437452679 | Central Dupage Health | Non-Pharmacy Dispensing Site | 7 Blanchard Cir, Wheaton, IL 60189-2037 | 2010-12-09 |
| 1710280953 | Central Dupage Health | Non-Pharmacy Dispensing Site | 636 Raymond Dr, Suite 106, Naperville, IL 60563-9789 | 2010-12-09 |
| 1770732430 | Central Dupage Health | Non-Pharmacy Dispensing Site | 820 Route 59, Bartlett, IL 60103 | 2008-09-17 |
| Street Address |
885 ROOSEVELT RD SUITE 101 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-6168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588638811 | Thomas Destefani | Pediatrics | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2006-02-14 |
| 1477897833 | Central Dupage Physician Group | Orthopaedic Surgery | 885 Roosevelt Rd, Suite 300, Glen Ellyn, IL 60137-6141 | 2012-11-23 |
| 1245465962 | Krisanne Sisto | Dermatology | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2009-05-26 |
| 1851555619 | John Stephen Baird | Internal Medicine | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2008-07-10 |
| 1235346719 | Michelle Marie Hephner | Family Medicine | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2007-05-16 |
| 1013047190 | Patricia M O'donnell | Podiatrist | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2007-03-06 |
| 1255479523 | Cynthia R Ambler | Pediatrics | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2007-02-01 |
| 1770634842 | Mary J Christensen | Nurse Practitioner | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2007-01-16 |
| 1043373160 | Jean Z Macary | Nurse Practitioner | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2006-12-19 |
| 1457456949 | Uma S Levy | Pediatrics | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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| 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.