Organization Active NPI

Preventive Medical Associates LTD

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1285726570
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-082908 Issued in IL
Legal business name
PREVENTIVE MEDICAL ASSOCIATES LTD
Practice address
1308 Macom Dr
Ste 103
Naperville, IL 60564-9355
Phone
(630) 585-0800
Fax
(630) 585-6331
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Dr. Hardeep Arora, MD
Title
President
Phone
(630) 585-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036-082908 IL Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 036-082908 IL

Addresses

Primary practice location

1308 Macom Dr
Ste 103
Naperville, IL 60564-9355

Mailing address

1308 Macom Dr
Ste 103
Naperville, IL 60564-9355
Phone (630) 585-0800

Other identifiers 2

IdentifierTypeStateIssuer
036082908MedicaidIL
02226840OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

143 S Lincoln Ave
Ste F
Aurora, IL 60505
Phone (630) 897-0581

1308 Macom Dr
Ste 103
Naperville, IL 60564
Phone (630) 585-0800

1309 Macom Dr
Ste 103
Naperville, IL 60564
Phone (630) 585-0800

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1285726570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MACOM DR",
            "address_2": "STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649355",
            "telephone_number": "630-585-0800",
            "fax_number": "630-585-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MACOM DR",
            "address_2": "STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649355",
            "telephone_number": "630-585-0800",
            "fax_number": "630-585-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "HARDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-585-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-082908",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-082908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02226840",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.