Active NPI
Visiting Doctors Network Inc.
- Adolescent Medicine (Family Medicine) Physician
- Morton, IL
National Provider Identifier
1942722368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- 036078962
- Legal business name
- VISITING DOCTORS NETWORK INC.
- Practice address
- 618 W Jackson St
Morton, IL 61550-1536 - Phone
- (309) 291-0479
- Fax
- (309) 291-0932
- NPI assigned
- Jul 7, 2017
- 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
- Araceli Lear, BSN RN MSHA
- Title
- Office Manager
- Phone
- (309) 291-0479
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 036078962 | IL | Primary |
| Clinic/Center | 261Q00000X | 036078962 | IL |
Addresses
Primary practice location
618 W Jackson St
Morton, IL 61550-1536
Mailing address
618 W Jackson St
Morton, IL 61550-1536
Phone (309) 291-0479
National Provider Directory
National Provider DirectoryLocations
618 W Jackson St
Morton, IL 61550
Phone (309) 291-0479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942722368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501536",
"telephone_number": "309-291-0479",
"fax_number": "309-291-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501536",
"telephone_number": "309-291-0479",
"fax_number": "309-291-0932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING DOCTORS NETWORK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEAR",
"authorized_official_first_name": "ARACELI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "309-291-0479",
"authorized_official_credential": "BSN RN MSHA"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": "IL",
"license": "036078962",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "036078962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.