Provider Demographics
NPI:1992499719
Name:NAPERVILLE MEDICAL PARTNERS
Entity type:Organization
Organization Name:NAPERVILLE MEDICAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GADDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-306-7227
Mailing Address - Street 1:4432 N MILLER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3697
Mailing Address - Country:US
Mailing Address - Phone:480-306-7227
Mailing Address - Fax:
Practice Address - Street 1:3416 S ROUTE 59 STE 108
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8147
Practice Address - Country:US
Practice Address - Phone:630-416-1151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty