Naperville Family Clinic SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NAPERVILLE FAMILY CLINIC SC

Practice address

1879 Bay Scott Cir Ste 111
Naperville, IL 60540-1109

Phone

(630) 961-1341

Fax

(630) 961-1782

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sunita Dervesh Koul, MDNPI 1003127895

Title

President

Phone

(515) 991-7370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunita Dervesh Koul

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1003127895
  Medicare reassignment NPD Authorized official
• Claudia Dogaru, RN

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1134937386
  Medicare reassignment NPD
• Noreen Mansoor Khan, APRN

  • Family Nurse Practitioner
  • Lincolnwood, IL
  • NPI 1124740972
  Medicare reassignment NPD
• Harpreet Kaur Thandi, APRN

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1124848353
  Medicare reassignment NPD
• Simranpreet K Brar, FNP

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1740008689

  IL

  Medicare reassignment

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1720658248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 BAY SCOTT CIR STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401109",
            "telephone_number": "515-991-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 BAY SCOTT CIR STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401109",
            "telephone_number": "630-961-1341",
            "fax_number": "630-961-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE FAMILY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_middle_name": "DERVESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-991-7370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naperville Dentistry LLC (Archer Dentistry II)
• Naperville Dupage Taxi, Inc
• Naperville Ear, Nose and Throat Associates., LTD.
• Naperville Eye Associates LTD
• Naperville Family Chiropractic
• Naperville Family Practice Inc
• Naperville Fertility Center, Inc.
• Naperville Foot and Ankle Specialists PC
• Naperville Foot Clinic LTD
• Naperville Health & Wellness PLLC

• Internal Medicine Physician in Naperville, IL
• Providers in Naperville, 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 Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.