Active NPI
Sean Michael Rardin S.C.
- Primary Care Clinic/Center
- Aurora, IL
National Provider Identifier
1013227214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036114032
- Legal business name
- SEAN MICHAEL RARDIN S.C.
- Practice address
- 1300 N Highland Ave
Aurora, IL 60506-1451 - Phone
- (630) 892-7629
- NPI assigned
- Oct 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Rardin
- Title
- Office Assistant
- Phone
- (630) 219-3172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 036114032 | IL | Primary |
Addresses
Primary practice location
1300 N Highland Ave
Aurora, IL 60506-1451
Mailing address
1300 N Highland Ave
Aurora, IL 60506-1451
Phone (630) 892-7629
Other names 1
- Riverwalk Family Medicine
National Provider Directory
National Provider DirectoryLocations
445 Aurora Ave
Naperville, IL 60540
Phone (630) 355-8844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Naperville, IL
- NPI 1760808307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297382400000",
"number": "1013227214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061451",
"telephone_number": "630-892-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061451",
"telephone_number": "630-892-7629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN MICHAEL RARDIN S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-21",
"last_updated": "2011-02-11",
"status": "A",
"authorized_official_last_name": "RARDIN",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "OFFICE ASSISTANT",
"authorized_official_telephone_number": "630-219-3172"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "036114032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverwalk Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.