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PROHEALTH MEDICAL CENTER
NPI 1740512359
Family Medicine in Aurora, IL

Active since February 06, 2010CLIA 14D2004238 · Waiver
2003 MONTGOMERY RD, SUITE 106 107, AURORA, IL 60504(630) 340-4211 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prohealth Medical Center NPPES

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

PROHEALTH MEDICAL CENTER (NPI 1740512359) is a healthcare organization registered as a family medicine in Aurora, Illinois and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Ivan Roger Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1740512359
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIVAN R LOPEZ MD PC
Location Address2003 MONTGOMERY RD, SUITE 106 107Aurora, IL 60504-9078
Mailing AddressPo Box 6313Aurora, IL 60598-0313 · (708) 890-9115 · Fax (630) 340-3283
Phone(630) 340-4211
Organization SubpartYes
Authorized OfficialIvan Roger LopezOwner · (708) 890-9115
Enumeration DateFebruary 6, 2010
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1740512359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036109448
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2003 MONTGOMERY RD, Aurora, IL 60504
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Other Names 1

Doing Business AsProhealth Medical Center

Other Identifiers 2

Medicaid036109448IL
Other36109448IL · Il License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 14D2004238

Prohealth Medical Center · Aurora, IL
Active · expires Feb 29, 2028
CLIA Number14D2004238
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorIvan R. Lopez
Laboratory Phone(708) 890-9115
Laboratory LocationProhealth Medical Center2003 Montgomery Rd, Ste 106, Aurora, IL 60504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

IVAN R LOPEZ M.D.
Family Medicine
2003 MONTGOMERY RD, SUITE 106
AURORA, IL 60504
Dupage County (630) 340-4211
BEACON EYE ASSOCIATES PC
Optometrist
2003 MONTGOMERY RD, SUITE 104
AURORA, IL 60504
Dupage County (630) 892-1401
AURORA BRIGHT DENTAL
Dentist (General Practice)
2003 MONTGOMERY RD, SUITE 103
AURORA, IL 60504
Dupage County (630) 375-0099
AURORA REHABILITATION CLINIC, LLC
Physical Therapist
2003 MONTGOMERY RD, SUITE 104
AURORA, IL 60504
Dupage County (630) 701-2648
ALAFIA NOMANI MD
Internal Medicine
2003 MONTGOMERY RD, SUITE 108/109
AURORA, IL 60504
Dupage County (630) 229-6708
MEDICAL CARE ASSOCIATES INC
Internal Medicine
2003 MONTGOMERY RD
AURORA, IL 60504
Dupage County (630) 229-6708
DR. MICHELLE K AUNG-KUNIMURA O.D.
Optometrist
2003 MONTGOMERY RD, STE 104
AURORA, IL 60504
Dupage County (630) 425-8221
DR. EVANGELOS VATIANOU O.D.
Optometrist
2003 MONTGOMERY RD, SUITE 104
AURORA, IL 60504
Dupage County (630) 892-1401

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 Ivan R Lopez MD PC's NPI number?

The NPI number for Ivan R Lopez MD PC is 1740512359. It was assigned to this organization in the NPPES registry on February 6, 2010.

Where is Ivan R Lopez MD PC located?

Ivan R Lopez MD PC is located at 2003 Montgomery Rd Suite 106 107, Aurora, IL 60504. The listed phone number is (630) 340-4211.

What is Ivan R Lopez MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ivan R Lopez MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2004238) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivan R Lopez MD PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ivan R Lopez MD PC 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 Ivan R Lopez MD PC was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.