Organization Active NPI

Renu Dosi MD SC

  • Internal Medicine Physician
  • Freeport, IL
National Provider Identifier
1326227034
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RENU DOSI MD SC
Practice address
750 Kiwanis Dr
Suite 200
Freeport, IL 61032-7119
Phone
(815) 297-1362
Fax
(815) 235-7101
NPI assigned
Oct 30, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mrs. Debra M. Kimes
Title
Office Manager
Phone
(815) 297-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

750 Kiwanis Dr
Suite 200
Freeport, IL 61032-7119

Mailing address

750 Kiwanis Dr
Suite 200
Freeport, IL 61032-7119
Phone (815) 297-1362

National Provider Directory

National Provider Directory

Locations

1010 Fairway Dr
Freeport, IL 61032
Phone (815) 599-6340

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1326227034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KIWANIS DR",
            "address_2": "SUITE 200",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610327119",
            "telephone_number": "815-297-1362",
            "fax_number": "815-235-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KIWANIS DR",
            "address_2": "SUITE 200",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610327119",
            "telephone_number": "815-297-1362",
            "fax_number": "815-235-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU DOSI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-297-1362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.