Organization Active NPI

Dupage Nephrology Associates SC

Doing business as Dupage Nephro Med Associates

  • Nephrology Physician
  • Elmhurst, IL
National Provider Identifier
1780637744
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DUPAGE NEPHROLOGY ASSOCIATES SC
Doing business as
Dupage Nephro Med Associates
Practice address
183 N Addison Ave
Elmhurst, IL 60126
Phone
(630) 832-2183
Fax
(630) 832-2184
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Rukhsana Muneer, MDNPI 1891754362
Title
President
Phone
(630) 832-2183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

183 N Addison Ave
Elmhurst, IL 60126

Mailing address

183 N Addison Ave
Elmhurst, IL 60126
Phone (630) 832-2183

Other identifiers 1

IdentifierTypeStateIssuer
2215498OtherILBCBS OF IL PROVIDER ID

Other names 1

  • DUPAGE NEPHRO MED ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

301 S Swift Rd
Addison, IL 60101
Phone (630) 545-8000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1780637744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-832-2183",
            "fax_number": "630-832-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-832-2183",
            "fax_number": "630-832-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE NEPHROLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "MUNEER",
        "authorized_official_first_name": "RUKHSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-832-2183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER ID",
            "identifier": "2215498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUPAGE NEPHRO MED ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.