Dreyer Clinic, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DREYER CLINIC, INC

Doing business as

Dreyer Medical Clinic

Practice address

4100 Healthway Dr
Aurora, IL 60504-4163

Phone

(630) 851-3105

NPI assigned

Dec 10, 2015

Organization subpart

Yes

Parent organization

EVANGELICAL SERVICES CORPORATIONAs reported in NPPES

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

Authorized official

Name

Nan Nelson

Title

Evp Financial Ops

Phone

(414) 299-1610

Specialties & licenses 1

Addresses

Other names 1

• Dreyer Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1407221898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066222",
            "telephone_number": "630-859-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HEALTHWAY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044163",
            "telephone_number": "630-851-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREYER CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL SERVICES CORPORATION",
        "enumeration_date": "2015-12-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "EVP FINANCIAL OPS",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dreyer Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dreyer Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Aurora, IL
• Providers in Aurora, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.