Active NPI
Compassionate Medical Care LLC
- Primary Care Nurse Practitioner
- Aurora, IL
National Provider Identifier
1104401033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- COMPASSIONATE MEDICAL CARE LLC
- Practice address
- 1560 Galway Dr
Aurora, IL 60505-1100 - Phone
- (630) 569-4236
- Fax
- (331) 472-2964
- NPI assigned
- Mar 11, 2021
- 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
- Kelly Suzanne Drudi, APN
- Title
- Apn
- Phone
- (630) 569-4236
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1560 Galway Dr
Aurora, IL 60505-1100
Mailing address
1560 Galway Dr
Aurora, IL 60505-1100
Phone (630) 569-4236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Aurora, IL
- NPI 1942578794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615420800000",
"number": "1104401033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 GALWAY DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605051100",
"telephone_number": "630-569-4236",
"fax_number": "331-472-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 GALWAY DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605051100",
"telephone_number": "630-569-4236",
"fax_number": "331-472-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A",
"authorized_official_last_name": "DRUDI",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "APN",
"authorized_official_telephone_number": "630-569-4236",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.