Organization
OPEN DOOR CLINIC
Active
Organization
OPEN DOOR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROESLER (EXECUTIVE DIRECTOR)
(630) 707-7704
Entity
Organization
Contact information
Practice address
157 S LINCOLN AVE, SUITE K, AURORA, IL 60505-4264
(630) 264-1819
(630) 229-0182
Mailing address
157 S LINCOLN AVE, SUITE K, AURORA, IL 60505-4264
(630) 264-1819
(630) 229-0182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up