Organization Active NPI

Dreyer Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Naperville, IL
National Provider Identifier
1922752138
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DREYER CLINIC, INC
Practice address
1508 Aurora Ave
Naperville, IL 60540-6210
Phone
(630) 692-4100
NPI assigned
Feb 7, 2022
Organization subpart
Yes
Parent organization
EVANGELICAL SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Nan Nelson
Title
Evp Financial Ops
Phone
(414) 299-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1508 Aurora Ave
Naperville, IL 60540-6210

Mailing address

28594 Network PL
Chicago, IL 60673-1285

National Provider Directory

National Provider Directory

Locations

1870 W Galena Blvd
Aurora, IL 60506
Phone (630) 859-6700

454 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 387-6424

1500 Sycamore Rd
Ste 100
Yorkville, IL 60560
Phone (630) 553-4470

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1922752138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28594 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 AURORA AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406210",
            "telephone_number": "630-692-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREYER CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL SERVICES CORPORATION",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "EVP FINANCIAL OPS",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 7, 2022; 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.