Individual provider Active NPI

Aren Devlin Jimenez, M.D.

  • Emergency Medicine Physician
  • Lisle, IL
National Provider Identifier
1144244583
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-117838 Issued in IL
Practice address
430 Warrenville Rd
Immediate Care Center
Lisle, IL 60532
Phone
(630) 469-9200
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-117838 IL Primary

Addresses

Primary practice location

430 Warrenville Rd
Immediate Care Center
Lisle, IL 60532

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-8409
Phone (630) 469-2000

Other identifiers 1

IdentifierTypeStateIssuer
036117838OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajimenez191436@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000088 IL Practitioner - Emergency Medicine 5496762460 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-117838ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince May 12, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince May 6, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Dupage Medical Group LTD CurrentSince May 6, 2019 Accepting new patients
Advocate Health & Hospitals Corp. Emergency Medicine CurrentSince May 12, 2017 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

29373 Network Pl
Chicago, IL 60673

2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201

430 Warrenville Rd
Lisle, IL 60532
Phone (630) 432-6180

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

Interoperability endpoints

  • Direct secure messaging: ajimenez191436@dulyhealthandcare.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1144244583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748409",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WARRENVILLE RD",
            "address_2": "IMMEDIATE CARE CENTER",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-469-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "AREN",
        "middle_name": "DEVLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-117838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036117838",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajimenez191436@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "430 Warrenville Rd",
            "address_2": "Immediate Care Center",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.