NPIMap

Organization Active NPI

Aurora Internists and Primary Care SC

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1710144662
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
336069212 Issued in IL
Legal business name
AURORA INTERNISTS AND PRIMARY CARE SC
Practice address
1315 N Highland Ave
104
Aurora, IL 60506-1400
Phone
(630) 301-8664
NPI assigned
May 19, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Nazima Mustafa, MD
Title
President
Phone
(630) 301-8664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 336069212 IL Primary

Addresses

Primary practice location

1315 N Highland Ave
104
Aurora, IL 60506-1400

Mailing address

PO Box 564
Aurora, IL 60507-0564

National Provider Directory

National Provider Directory

Locations

1315 N Highland Ave
Ste 204
Aurora, IL 60506
Phone (630) 869-5535

1900 Ogden Ave
Ste 100
Aurora, IL 60504
Phone (630) 585-8087

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1710144662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605070564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE",
            "address_2": "104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061400",
            "telephone_number": "630-301-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA INTERNISTS AND PRIMARY CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "NAZIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-301-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336069212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 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.