NPIMap

Organization Active NPI

Mercy Medical Center - Aurora LLC

  • Community/Retail Pharmacy
  • Aurora, IL
National Provider Identifier
1215025762
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054-015054 Issued in IL
Legal business name
MERCY MEDICAL CENTER - AURORA LLC
Practice address
1315 N Highland Ave Ste 101
Aurora, IL 60506-1459
Phone
(630) 801-5733
Fax
(630) 801-5896
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(909) 235-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054-015054 IL Primary

Addresses

Primary practice location

1315 N Highland Ave Ste 101
Aurora, IL 60506-1459

Mailing address

1315 N Highland Ave Ste 101
Aurora, IL 60506-1459
Phone (630) 801-5733

Other names 1

  • Prime Healthcare Rx 1005 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616002835 IL Part B Supplier - Pharmacy 4486176757 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aurora, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center - Aurora LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 21

Organizations listed as members of this organization in the National Provider Directory.

View all 21

Locations

1315 N Highland Ave
Ste 101
Aurora, IL 60506
Phone (630) 801-5733

1315 N Highland Ave
Fl 1
Aurora, IL 60506
Phone (630) 801-2798

21 Heritage Dr
Ste 101
Bourbonnais, IL 60914
Phone (815) 936-3232

656 N Convent St
Ste D
Bourbonnais, IL 60914
Phone (708) 983-6060

2201 Randall Rd
Carpentersvle, IL 60110
Phone (847) 551-1859

87 N Airlite St
Ste G15
Elgin, IL 60123
Phone (847) 622-3407

400 S Randall Rd
Ste C
Elgin, IL 60123
Phone (224) 273-6564

400 S Randall Rd
Elgin, IL 60123
Phone (224) 273-6564

1975 Lin Lor Ln
Ste 105
Elgin, IL 60123
Phone (847) 742-4491

1975 Lin Lor Ln
Ste G20
Elgin, IL 60123
Phone (847) 695-3200

301 Madison St
Ste 310
Joliet, IL 60435
Phone (815) 773-7737

2614 W Jefferson St
Joliet, IL 60435
Phone (815) 725-1355

455 W Court St
Ste 200
Kankakee, IL 60901
Phone (815) 937-8779

1050 W Jeffery St
Kankakee, IL 60901
Phone (815) 933-1660

410 E Lincoln Hwy
Ste 151
New Lenox, IL 60451
Phone 81546255665

410 E Lincoln Hwy
Ste 101
New Lenox, IL 60451
Phone (815) 462-5544

16615 S Route 59
Ste 300
Plainfield, IL 60586
Phone (815) 609-6300

500 S Weber Rd
Ste 300
Romeoville, IL 60446
Phone (815) 254-8430

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1215025762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061459",
            "telephone_number": "630-801-5733",
            "fax_number": "630-801-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061459",
            "telephone_number": "630-801-5733",
            "fax_number": "630-801-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER - AURORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-015054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Healthcare Rx 1005",
            "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 Apr 16, 2025; 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.