Dreyer Clinic, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DREYER CLINIC, INC

Practice address

1500 Sycamore Rd
Yorkville, IL 60560-1906

Phone

(630) 553-4470

NPI assigned

Nov 14, 2015

Organization subpart

Yes

Parent organization

EVANGELICAL SERVICES CORPORATIONAs reported in NPPES

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

Authorized official

Name

Nan Nelson

Title

Evp Financial Ops

Phone

(414) 299-1610

Specialties & licenses 1

Addresses

Other names 1

• Dreyer Medical Clinic Doing business as

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1124492111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066222",
            "telephone_number": "630-859-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601906",
            "telephone_number": "630-553-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREYER CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL SERVICES CORPORATION",
        "enumeration_date": "2015-11-14",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "EVP FINANCIAL OPS",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreyer Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dreyer Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodie Ellen Doty, LCPC
• Dr. Lea a. Cornish, P.C.
• Kathryn Marie Draznin
• Anita Marie Drendel, LCSW
• Zachary R Dresch
• Tanetria Duncan
• Dupage Medical Group, LTD
• Alexis Nicole Duran
• Sara Duran
• Pamela Eckardt

• Multi-Specialty Clinic/Center in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.