NPIMap

Organization Active NPI

Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Bloomingdale, IL
National Provider Identifier
1164725313
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CENTRAL DUPAGE HEALTH
Practice address
235 S Gary Ave
Bloomingdale, IL 60108-2213
Phone
(630) 893-9600
NPI assigned
Dec 9, 2010
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL DUPAGE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Maura McKay, DO
Title
Medical Director
Phone
(952) 653-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

235 S Gary Ave
Bloomingdale, IL 60108-2213

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2568

Other names 1

  • NW Medicine Convenient Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Dupage Hosp Ect12 organizations share this tax ID, including this one
Part of
Central Dupage Hosp Ect

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1164725313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S GARY AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082213",
            "telephone_number": "630-893-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL DUPAGE HEALTH",
        "enumeration_date": "2010-12-09",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-653-2568",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Medicine Convenient Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.