South Naperville Family Practice, LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036085042 Issued in IL

Legal business name

SOUTH NAPERVILLE FAMILY PRACTICE, LTD.

Practice address

2020 Ogden Ave.
Suite 400
Aurora, IL 60504-4386

Phone

(630) 236-4300

Fax

(630) 236-4302

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard J Steslow, DO

Title

Owner/President/Physician

Phone

(630) 236-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard J. Steslow, D.O. Other name

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1306066097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE.",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044386",
            "telephone_number": "630-236-4300",
            "fax_number": "630-236-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE.",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044386",
            "telephone_number": "630-236-4300",
            "fax_number": "630-236-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NAPERVILLE FAMILY PRACTICE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "STESLOW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "630-236-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9915169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard J. Steslow, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.