Active NPI
Platinum Family Medicine SC.
- Family Medicine Physician
- Naperville, IL
National Provider Identifier
1871705368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042619030
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2233203 | Other | IL | BCBS PROVIDER ID |
| 042619030 | Other | IL | MED CORP REGISTRATION |
| DG5143 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.