Downers Grove Geriatrics, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036106287 Issued in IL

Legal business name

DOWNERS GROVE GERIATRICS, LLC

Practice address

3800 Highland Ave Ste 111
Downers Grove, IL 60515-1558

Phone

(630) 241-3779

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Alima Mayorga, M.D.

Title

President

Phone

(630) 241-3779

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1326209446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 ROSLYN RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155804",
            "telephone_number": "630-241-3779",
            "fax_number": "630-241-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE STE 111",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151558",
            "telephone_number": "630-241-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERS GROVE GERIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ALIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-241-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036106287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR RACHEL MAYORGA MD",
            "identifier": "1124078365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Downers Grove Behavioral Health Associates, L.L.C.
• Downers Grove Counseling and Wellness PLLC
• Downers Grove Eye Center, PC
• Downers Grove Family Practice,P.C.
• Downers Grove Geriatrics LLC
• Downers Grove Grde SCH Dist 58
• Downers Grove Immediate Care Inc.
• Downers Grove Internists, S.C.
• Downers Grove Medical Group
• Downers Grove OB/GYN, P.C.

• Geriatric Medicine (Internal Medicine) Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.