Organization Active NPI

Tehmina Bajwa MDSC

  • Medical Specialty Clinic/Center
  • Aurora, IL
National Provider Identifier
1689764615
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036105087 Issued in IL
Legal business name
TEHMINA BAJWA MDSC
Practice address
2424 W Indian TRL
Ste B
Aurora, IL 60506-1568
Phone
(630) 907-2424
Fax
(630) 907-2444
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Tehmina Bajwa, MDNPI 1922083476
Title
Owner
Phone
(630) 907-2424

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 036105087 IL Primary

Addresses

Primary practice location

2424 W Indian TRL
Ste B
Aurora, IL 60506-1568

Mailing address

2424 W. Indian Trail Rd.
Ste B
Aurora, IL 60506
Phone (630) 907-2424

Other names 1

  • Bajwa Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2424 W Indian Trl
Ste B
Aurora, IL 60506
Phone (630) 862-9126

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1689764615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W. INDIAN TRAIL RD.",
            "address_2": "STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-907-2424",
            "fax_number": "630-907-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W INDIAN TRL",
            "address_2": "STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061568",
            "telephone_number": "630-907-2424",
            "fax_number": "630-907-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHMINA BAJWA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "TEHMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-907-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036105087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bajwa Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.