Organization Active NPI

Drexler Family Practice S C

  • Sports Medicine (Family Medicine) Physician
  • Libertyville, IL
National Provider Identifier
1215134531
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
DREXLER FAMILY PRACTICE S C
Practice address
1643 Northwind Blvd
Libertyville, IL 60048-9613
Phone
(847) 996-0671
Fax
(847) 996-0674
NPI assigned
Jun 29, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. David M Drexler, D.O.NPI 1508868027
Title
President
Phone
(847) 996-0671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X IL Primary

Addresses

Primary practice location

1643 Northwind Blvd
Libertyville, IL 60048-9613

Mailing address

1643 Northwind Blvd
Libertyville, IL 60048-9613
Phone (847) 996-0671

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1215134531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NORTHWIND BLVD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489613",
            "telephone_number": "847-996-0671",
            "fax_number": "847-996-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 NORTHWIND BLVD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489613",
            "telephone_number": "847-996-0671",
            "fax_number": "847-996-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXLER FAMILY PRACTICE S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "DREXLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-996-0671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.