Provider Demographics
NPI:1104401033
Name:COMPASSIONATE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:COMPASSIONATE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:DRUDI
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:630-569-4236
Mailing Address - Street 1:1560 GALWAY DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1100
Mailing Address - Country:US
Mailing Address - Phone:630-569-4236
Mailing Address - Fax:331-472-2964
Practice Address - Street 1:1560 GALWAY DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1100
Practice Address - Country:US
Practice Address - Phone:630-569-4236
Practice Address - Fax:331-472-2964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty