Joseph S Doran
Individual provider Active NPI Counselor · Aurora, IL
NPI 1730453531 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1730453531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1305 E Indian TRL
Aurora, IL 60505-1600 - Phone
- (630) 966-4000
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association for Individual Development | Past | Accepting new patients | |
| Association for Individual Development | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1305 E Indian TRL
Aurora, IL 60505-1600
Mailing address
9239 S 49TH Ave
Oak Lawn, IL 60453-1705
Phone (708) 280-4641
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.