Organization Active NPI

Dreyer Clinic, Inc.

  • Multi-Specialty Clinic/Center
  • Aurora, IL
National Provider Identifier
1184718355
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DREYER CLINIC, INC.
Practice address
2285 Sequoia Dr
Aurora, IL 60506-6209
Phone
(630) 859-6700
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
EVANGELICAL SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X IL Primary

Addresses

Primary practice location

2285 Sequoia Dr
Aurora, IL 60506-6209

Mailing address

2357 Sequoia Dr
Aurora, IL 60506-6222
Phone (630) 859-6800

Other names 1

  • Dreyer Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2363 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

741 E Lincoln Ave
Hinckley, IL 60520
Phone (801) 286-9225

3310 W Main St
Ste 200
St Charles, IL 60175
Phone (630) 897-6044

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1184718355",
    "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": "2285 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066209",
            "telephone_number": "630-859-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREYER CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL SERVICES CORPORATION",
        "enumeration_date": "2006-10-03",
        "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"
        }
    ]
}

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 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.