Organization Active NPI

Midwest Infectious Disease Specialists LLC

  • Infectious Disease Physician
  • Naperville, IL
National Provider Identifier
1033221429
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
MIDWEST INFECTIOUS DISEASE SPECIALISTS LLC
Practice address
636 Raymond Dr
Suite 204
Naperville, IL 60563-9789
Phone
(630) 548-4811
Fax
(630) 548-4909
NPI assigned
Aug 31, 2006
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Donna Ringelstein, RNC
Title
Practice Administratot
Phone
(630) 548-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

636 Raymond Dr
Suite 204
Naperville, IL 60563-9789

Mailing address

636 Raymond Dr
Suite 204
Naperville, IL 60563-9789
Phone (630) 548-4811

Other identifiers 1

IdentifierTypeStateIssuer
2232887OtherILBCBS

National Provider Directory

National Provider Directory

Locations

636 Raymond Dr
Ste 204
Naperville, IL 60563
Phone (331) 732-4700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1033221429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "SUITE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639789",
            "telephone_number": "630-548-4811",
            "fax_number": "630-548-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR",
            "address_2": "SUITE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639789",
            "telephone_number": "630-548-4811",
            "fax_number": "630-548-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INFECTIOUS DISEASE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "RINGELSTEIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOT",
        "authorized_official_telephone_number": "630-548-4811",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2232887",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.