Open Door Clinic of Greater Elgin

PAC ID

4486687050The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

IL

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Open Door Clinic of Greater Elgin

  • Medical Specialty Clinic/Center
  • Elgin, IL
  • NPI 1255354635
• Open Door Clinic

  • Infectious Disease Physician
  • Aurora, IL
  • NPI 1174902555

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).

• Anjolie Elizabeth Jose, PA-C

  • Physician Assistant
  • Aurora, IL
  • NPI 1437863792
• Josh Lopez

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1184166001
• Vivian Adeck Ndangoh-Tendong, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
  • NPI 1962075473
• Thomas Jorge Torrez

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1902622079

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.