Downers Grove Geriatrics LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036106287 Issued in IL

Legal business name

DOWNERS GROVE GERIATRICS LLC

Practice address

3800 Highland Ave
Suite 111
Downers Grove, IL 60515-1557

Phone

(630) 241-3779

Fax

(630) 241-9309

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Rachel Mayorga, MDNPI 1124078365

Title

Member

Phone

(630) 241-3779

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Mayorga, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Healdsburg, CA
  • NPI 1124078365
  NPD (past) Authorized official

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1700018710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 ROSLYN RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155804",
            "telephone_number": "630-241-3779",
            "fax_number": "630-241-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE",
            "address_2": "SUITE 111",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151557",
            "telephone_number": "630-241-3779",
            "fax_number": "630-241-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERS GROVE GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-241-3779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036106287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Dow, DPT
• Downers Grove Behavioral Health Associates, L.L.C.
• Downers Grove Counseling and Wellness PLLC
• Downers Grove Eye Center, PC
• Downers Grove Family Practice,P.C.
• Downers Grove Geriatrics, LLC
• Downers Grove Grde SCH Dist 58
• Downers Grove Immediate Care Inc.
• Downers Grove Internists, S.C.
• Downers Grove Medical Group

• Internal Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.