Organization Active NPI

Visiting Doctors Network Inc.

  • Adolescent Medicine (Family Medicine) Physician
  • Morton, IL
National Provider Identifier
1942722368
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
036078962 Issued in IL
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.