FAMILY DOCTOR'S OF DUPAGE, S.C. NPI 1003010554

Clinic/Center (Primary Care) in Bloomingdale, IL

About FAMILY DOCTOR'S OF DUPAGE, S.C.

Family Doctor's Of Dupage, S.c. is a provider in Bloomingdale, IL. The NPI number assigned to this provider is 1003010554. The practitioner's primary taxonomy code is Clinic/Center (261QP2300X). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Advanced Integrative Healthcare.

NPI1003010554 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameFAMILY DOCTOR'S OF DUPAGE, S.C.
Provider Location Address245 S GARY AVE SUITE 105 BLOOMINGDALE, IL 60108 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address245 S GARY AVE SUITE 105 BLOOMINGDALE, IL 60108 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameADVANCED INTEGRATIVE HEALTHCARE Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date06-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

FAMILY DOCTOR'S OF DUPAGE, S.C.
245 S GARY AVE
SUITE 105
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-9661
Fax: (630) 893-5665
Get Directions

Mailing Address

FAMILY DOCTOR'S OF DUPAGE, S.C.
245 S GARY AVE
SUITE 105
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-9661
Fax: (630) 893-5665

Primary Taxonomy

Taxonomy Code261QP2300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License StateIL

Authorized Official

Authorized Official NameDR. WILLIAM L. EPPERLY M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(630) 893-9661

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C46238MEDICARE UPIN (02)IL

Map Location


FAMILY DOCTOR'S OF DUPAGE, S.C. address is 245 S GARY AVE SUITE 105 BLOOMINGDALE, IL 60108

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003820820 NICHOLAS J ZORETIC DO
Individual
Family Medicine245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 60108
(630) 924-4009
1124257241 KIMBERLY MCKINNON DO
Individual
Family Medicine245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 924-4009
1154313906 JAMES MICHAEL MATHEU DO
Individual
Family Medicine245 S GARY AVE SUITE 200
BLOOMINGDALE, IL 60108
(630) 894-8404
1164668554MR. RAFAEL ARMANDO VALADEZ L.C.S.W.
Individual
Social Worker (Clinical)245 S GARY AVE SUITE 201
BLOOMINGDALE, IL 60108
(630) 893-5230
1215921952PAHCS II
Organization
Clinic/Center (Occupational Medicine)245 S GARY AVE STE 101
BLOOMINGDALE, IL 60108
(630) 894-8404
1225438278 JENNY KOSHY
Individual
Nurse Practitioner (Family)245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 60108
(630) 924-4009
1235230459 CATHERINE S CHONG MD
Individual
Physical Medicine & Rehabilitation245 S GARY AVE STE 105
BLOOMINGDALE, IL 60108
(630) 893-9661
1275568289 MICHAEL J MCGRAW MD
Individual
Family Medicine245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 60108
(630) 924-4009
1366581811DUPAGE META-VASCULAR MEDICINE PC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)245 S GARY AVE SUITE 202
BLOOMINGDALE, IL 60108
(630) 893-2190
1407807548 DEBORAH GREEN CNM
Individual
Registered Nurse245 S GARY AVE LOWER LEVEL
BLOOMINGDALE, IL 60108
(630) 893-5230
1437209178 MARY BIZIOS DO
Individual
Family Medicine245 S GARY AVE #204
BLOOMINGDALE, IL 60108
(630) 894-7505
1447244918DR. ROBIN J ROBINSON M.D.
Individual
Preventive Medicine (Occupational Medicine)245 S GARY AVE ST. 200
BLOOMINGDALE, IL 60108
(630) 894-8404
1477641645 WILLIAM L EPPERLY MD
Individual
Family Medicine245 S GARY AVE STE 105
BLOOMINGDALE, IL 60108
(630) 893-9661
1518251149MRS. TALLY LYNN HOLLIN A.P.N.
Individual
Nurse Practitioner (Family)245 S GARY AVE LOWER LEVEL
BLOOMINGDALE, IL 60108
(630) 893-5230
1598939803ISAAC I. COHEN, M.D.,S.C.
Organization
Internal Medicine (Hematology & Oncology)245 S GARY AVE SUITE 207
BLOOMINGDALE, IL 60108
(630) 539-2540
1669718839 SHERIN MARY GEORGE PA-C
Individual
Physician Assistant (Medical)245 S GARY AVE SUITE 207
BLOOMINGDALE, IL 60108
(630) 893-9661
1679902084MR. RYAN WILLIAM LANGE PA-C
Individual
Physician Assistant245 S GARY AVE SUITE LL
BLOOMINGDALE, IL 60108
(630) 893-5230
1760669469DR. CHARITY URSUA ALIKPALA D.O.
Individual
Family Medicine245 S GARY AVE SUITE LL
BLOOMINGDALE, IL 60108
(630) 893-5230
1821172511DR. PAUL STEVEN MENET MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)245 S GARY AVE SUITE 202
BLOOMINGDALE, IL 60108
(630) 893-2190
1992121156 VINCENT BOTTA A.P.N.
Individual
Nurse Practitioner (Family)245 S GARY AVE
BLOOMINGDALE, IL 60108
(630) 893-5230