Organization Active NPI

Kurt Warkenthien SC

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1457406076
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036080295 Issued in IL
Legal business name
KURT WARKENTHIEN SC
Practice address
1308 Macom Dr
Suite 104
Naperville, IL 60564-9355
Phone
(630) 236-8018
Fax
(630) 236-8949
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Kurt Warkenthien, MD
Title
Owner
Phone
(630) 236-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036080295 IL Primary

Addresses

Primary practice location

1308 Macom Dr
Suite 104
Naperville, IL 60564-9355

Mailing address

1308 Macom Dr
Suite 104
Naperville, IL 60564-9355
Phone (630) 236-8018

Other identifiers 1

IdentifierTypeStateIssuer
036080295MedicaidIL

Other names 1

  • Golden Rule Family Practice Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1457406076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MACOM DR",
            "address_2": "SUITE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649355",
            "telephone_number": "630-236-8018",
            "fax_number": "630-236-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MACOM DR",
            "address_2": "SUITE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649355",
            "telephone_number": "630-236-8018",
            "fax_number": "630-236-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT WARKENTHIEN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "WARKENTHIEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-236-8018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036080295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080295",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Rule Family Practice Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.