Elburn Health Associates, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036067345 Issued in IL

Legal business name

ELBURN HEALTH ASSOCIATES, S.C.

Practice address

905 N First St
Suite a
Elburn, IL 60119-9155

Phone

(630) 365-6891

Fax

(630) 365-6911

NPI assigned

Feb 28, 2007

Last updated

Feb 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Blamer

Title

Biller

Phone

(630) 551-1097

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267315200000",
    "number": "1376671685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N FIRST ST",
            "address_2": "SUITE A",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199155",
            "telephone_number": "630-365-6891",
            "fax_number": "630-365-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N FIRST ST",
            "address_2": "SUITE A",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199155",
            "telephone_number": "630-365-6891",
            "fax_number": "630-365-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBURN HEALTH ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-02-28",
        "status": "A",
        "authorized_official_last_name": "BLAMER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "630-551-1097"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036067345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Donnici
• Dr. Tom Dentistry Elburn, PC
• Nicole Dulski, RN
• Amanda Durbin, PHARM D
• Elburn & Countryside Fire Protection District (Elburn Ambulance Service)
• Eyes on Elburn LTD LLC
• Dawn Ilene Faulkner, OTR/L
• David Lin Foss, D.C.
• Kristy Ellen Gibson, M.A., CCC-SLP
• Loren M Gineris, PT

• Internal Medicine Physician in Elburn, IL
• Providers in Elburn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; 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.