Organization Active NPI

Aurora Physical Medicine

  • Chiropractor
  • North Aurora, IL
National Provider Identifier
1942359716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AURORA PHYSICAL MEDICINE
Practice address
417 S Lincolnway
Unit B
North Aurora, IL 60542-5109
Phone
(630) 885-6422
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Inas Eldouaik
Title
Business Partner
Phone
(630) 885-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

417 S Lincolnway
Unit B
North Aurora, IL 60542-5109

Mailing address

417 S Lincolnway
Unit B
North Aurora, IL 60542-5109

National Provider Directory

National Provider Directory

Locations

417 S Lincolnway
Ste B
North Aurora, IL 60542
Phone (630) 801-0100

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942359716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S LINCOLNWAY",
            "address_2": "UNIT B",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S LINCOLNWAY",
            "address_2": "UNIT B",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425109",
            "telephone_number": "630-885-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDOUAIK",
        "authorized_official_first_name": "INAS",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "630-885-6422"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.