Organization Active NPI

Platinum Family Medicine SC.

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1871705368
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042619030 Issued in IL
Legal business name
PLATINUM FAMILY MEDICINE SC.
Practice address
1012 95TH St
Suite 9
Naperville, IL 60564-5041
Phone
(630) 689-4944
Fax
(630) 717-0981
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Claire N Sutton, M.D.
Title
President Owner
Phone
(630) 689-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 042619030 IL Primary

Addresses

Primary practice location

1012 95TH St
Suite 9
Naperville, IL 60564-5041

Mailing address

1012 95TH St
Suite 9
Naperville, IL 60564-5041
Phone (630) 689-4944

Other identifiers 3

IdentifierTypeStateIssuer
2233203OtherILBCBS PROVIDER ID
042619030OtherILMED CORP REGISTRATION
DG5143OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

120 Spalding Dr
Ste 411
Naperville, IL 60540
Phone (630) 527-2910

1012 95th St
Ste 9
Naperville, IL 60564
Phone (630) 689-4944

11258 S Route 59
Ste 3
Naperville, IL 60564
Phone (630) 689-4944

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1871705368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 95TH ST",
            "address_2": "SUITE 9",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-689-4944",
            "fax_number": "630-717-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST",
            "address_2": "SUITE 9",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-689-4944",
            "fax_number": "630-717-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM FAMILY MEDICINE SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "630-689-4944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042619030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "2233203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED CORP REGISTRATION",
            "identifier": "042619030",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5143",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.