Organization Active NPI

Dr Courtney Drendel Inc

  • Medical Specialty Clinic/Center
  • Geneva, IL
National Provider Identifier
1447764014
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DR COURTNEY DRENDEL INC
Practice address
515 Hamilton St # 100
Geneva, IL 60134-2138
Phone
(630) 232-7611
Fax
(630) 232-7612
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Courtney Winkle, DCNPI 1184138752
Title
Owner/Provider
Phone
(630) 921-3847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

515 Hamilton St # 100
Geneva, IL 60134-2138

Mailing address

515 Hamilton St # 100
Geneva, IL 60134-2138
Phone (630) 232-7611

Other identifiers 1

IdentifierTypeStateIssuer
123456OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171219001815 IL Part B Supplier - Clinic/Group Practice 6608134705 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Locations

515 Hamilton St
Geneva, IL 60134
Phone (630) 232-7611

515 Hamilton St
#100
Geneva, IL 60134
Phone (630) 232-7611

Practitioners & affiliated clinicians

Practitioners 2

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": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1447764014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HAMILTON ST # 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342138",
            "telephone_number": "630-232-7611",
            "fax_number": "630-232-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HAMILTON ST # 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342138",
            "telephone_number": "630-232-7611",
            "fax_number": "630-232-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR COURTNEY DRENDEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WINKLE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "630-921-3847",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.