Open Door Clinic

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

OPEN DOOR CLINIC

Practice address

157 S Lincoln Ave
Ste. #K
Aurora, IL 60505-4264

Phone

(630) 264-1819

Fax

(630) 264-2054

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Carol Winter

Title

Manager

Phone

(630) 264-1819

Specialties & licenses 1

Addresses

Tax ID family

Open Door Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Open Door Clinic of Greater Elgin

  • Medical Specialty Clinic/Center
  • Elgin, IL
  • NPI 1255354635
  NPD tax ID

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1245516939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST",
            "address_2": "STE #607",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205587",
            "telephone_number": "847-695-1093",
            "fax_number": "847-695-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S LINCOLN AVE",
            "address_2": "STE. #K",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054264",
            "telephone_number": "630-264-1819",
            "fax_number": "630-264-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-264-1819"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Ann Ondyak
• Kathleen Ongtangco, PT
• Francis Onimbo
• Jessica Ontiveros
• Open Door Clinic
• Taylor Opsahl
• Optima Oral Systemic Solutions LLC
• Optimal Physical Therapy and Wellness Inc
• Optimum Chiropractic Center, S.C.
• Optimus Labs LLC

• Infectious Disease Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.