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OPEN DOOR CLINIC OF GREATER ELGIN
NPI 1255354635
Clinic/Center - Medical Specialty in Elgin, IL

Active since July 26, 2006CLIA 14D0415459 · Microscopy
1665 LARKIN AVE, ELGIN, IL 60123(847) 695-1093 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Open Door Clinic Of Greater Elgin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN DOOR CLINIC OF GREATER ELGIN (NPI 1255354635) is a healthcare organization registered as a medical specialty in Elgin, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through March 30, 2027, maintains a secondary practice location in Aurora, and lists Anna Avila, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255354635
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOPEN DOOR CLINIC OF GREATER ELGIN
Location Address1665 LARKIN AVEElgin, IL 60123-5977
Mailing Address1665 Larkin AveElgin, IL 60123-5977 · (847) 695-1093 · Fax (847) 695-0501
Phone(847) 695-1093
Organization SubpartNo
Authorized OfficialAnna AvilaOffice Manager · (331) 588-1971
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1255354635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1665 LARKIN AVE, Elgin, IL 60123
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Secondary Practice Location 1

Location 1157 S Lincoln Ave Ste KAurora, IL 60505-4291 · Phone (847) 695-1093

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0415459

Open Door Clinic · Elgin, IL
Active · expires Mar 30, 2027
CLIA Number14D0415459
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorGulzar Fidai
Laboratory Phone(224) 365-8400
Laboratory LocationOpen Door Clinic1665 Larkin Ave, Elgin, IL 60123
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSH LOPEZ
Nurse Practitioner (Family)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093
THOMAS JORGE TORREZ
Nurse Practitioner (Family)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093
MONICA ROSE HERDRICH FNP-C
Nurse Practitioner (Family)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Door Clinic Of Greater Elgin's NPI number?

The NPI number for Open Door Clinic Of Greater Elgin is 1255354635. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Open Door Clinic Of Greater Elgin located?

Open Door Clinic Of Greater Elgin is located at 1665 Larkin Ave, Elgin, IL 60123. The listed phone number is (847) 695-1093.

What is Open Door Clinic Of Greater Elgin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Open Door Clinic Of Greater Elgin hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0415459) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Open Door Clinic Of Greater Elgin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Open Door Clinic Of Greater Elgin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Open Door Clinic Of Greater Elgin was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.