Organization Active NPI

Physicians at Your Door Incorporation

  • Family Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1396174124
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHYSICIANS AT YOUR DOOR INCORPORATION
Practice address
621 Plainfield Rd Ste 205
Willowbrook, IL 60527-5326
Phone
(630) 401-6779
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Robert Duncan
Title
President
Phone
(630) 401-6779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

621 Plainfield Rd Ste 205
Willowbrook, IL 60527-5326

Mailing address

621 Plainfield Rd Ste 205
Willowbrook, IL 60527-5326
Phone (630) 401-6779

National Provider Directory

National Provider Directory

Locations

621 Plainfield Rd
Ste 205
Willowbrook, IL 60527
Phone (630) 401-6779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1396174124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 205",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275326",
            "telephone_number": "630-401-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD STE 205",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275326",
            "telephone_number": "630-401-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AT YOUR DOOR INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-401-6779"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.