Central Dupage Health

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

CENTRAL DUPAGE HEALTH

Practice address

Dept 4003
Carol Stream, IL 60122-4698

Phone

(630) 462-7997

Fax

(630) 933-2555

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Gene Heidt

Title

Directory Laboratory Services

Phone

(630) 933-4027

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Midwest Pathology Services Doing business as

Locations

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Bloomingdale, IL
  • NPI 1164725313
  NPPES parent name
• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Glen Ellyn, IL
  • NPI 1356644595
  NPPES parent name
• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Wheaton, IL
  • NPI 1437452679
  NPPES parent name
• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Naperville, IL
  • NPI 1710280953
  NPPES parent name
• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • St Charles, IL
  • NPI 1720381965
  NPPES parent name
• Central Dupage Health

  • Non-Pharmacy Dispensing Site
  • Bartlett, IL
  • NPI 1770732430
  NPPES parent name

Practitioners 3

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

• Sonya S Clifford, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winfield, IL
  • NPI 1366521544

  Anatomic Pathology & Clinical Pathology

  NPD
• Bernard J Huston, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winfield, IL
  • NPI 1811067010

  Anatomic Pathology & Clinical Pathology

  NPD
• Stephanie M Sitterding, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winfield, IL
  • NPI 1144460825

  Anatomic Pathology & Clinical Pathology

  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1740313733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 4003",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224698",
            "telephone_number": "630-462-7997",
            "fax_number": "630-933-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT 4003",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224698",
            "telephone_number": "630-462-7997",
            "fax_number": "630-933-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "HEIDT",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DIRECTORY LABORATORY SERVICES",
        "authorized_official_telephone_number": "630-933-4027"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "2215171",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR RETIREMENT",
            "identifier": "CF3455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Stream Pharmacy P.C
• Carol Stream Vision Center
• John Thomas Carroll, M.D.
• Erica Carter
• Center for Personal Growth, PLLC
• Central Dupage Orthotics
• Central Dupage Pastoral Counseling Center
• Central Dupage Physical Medicine LT
• Central Dupage Physician Group
• Central Dupage Physician Group

• All providers in Carol Stream, IL
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.