NPIMap

Organization Active NPI

Family Doctor'S of Dupage, S.C.

  • Primary Care Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1003010554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY DOCTOR'S OF DUPAGE, S.C.
Practice address
245 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2228
Phone
(630) 893-9661
Fax
(630) 893-5665
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William L. Epperly, M.D.NPI 1477641645
Title
President
Phone
(630) 893-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

245 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2228

Mailing address

245 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2228
Phone (630) 893-9661

Other names 1

  • Advanced Integrative Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

245 S Gary Ave
Ste 105
Bloomingdale, IL 60108
Phone (630) 893-9661

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003010554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-9661",
            "fax_number": "630-893-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-9661",
            "fax_number": "630-893-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTOR'S OF DUPAGE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPPERLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-893-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Integrative Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.