Organization Active NPI

Compassionate Medical Care LLC

  • Primary Care Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1104401033
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Kelly Suzanne Drudi, APNNPI 1942578794
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210609003598 IL Part B Supplier - Clinic/Group Practice 8820498058 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.