# OPEN DOOR CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245516939
- **Authorized official:** CAROL WINTER (MANAGER)
- **Authorized official phone:** (630) 264-1819

## Contact information

- **Practice address:** 157 S LINCOLN AVE, STE. \#K, AURORA, IL 60505-4264
- **Practice address phone:** (630) 264-1819
- **Practice address fax:** (630) 264-2054
- **Mailing address:** 164 DIVISION ST, STE \#607, ELGIN, IL 60120-5587
- **Mailing address phone:** (847) 695-1093
- **Mailing address fax:** (847) 695-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 10/26/2011