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AAGAARD 5 LLC NPI 1285900753


NPI Information

NPI: 1285900753
Provider Name: AAGAARD 5 LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2041696

Address:
2001 N GARY AVE
SUITE 210
WHEATON, IL
ZIP 60187
Phone: (630) 614-4255
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AAGAARD 5 LLC is a family medicine in Wheaton, IL. The provider is 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. AAGAARD 5 LLC NPI is 1285900753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 N GARY AVE
SUITE 210
WHEATON, IL
ZIP 60187-055
Phone: (630) 614-4255
Fax: (630) 614-4059

The provider's authorized official is Jon Potter Aagaard .
The authorized official title is President and has the following contact phone number (630) 614-4255.

The CLIA number assigned to this NPI record is 14D2041696 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 7/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036058975ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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