Healthcare Provider Details

I. General information

NPI: 1851329882
Provider Name (Legal Business Name): AURORA EMERGENCY ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N HIGHLAND AVE
AURORA IL
60506-1449
US

IV. Provider business mailing address

DEPT 4040 PO BOX 3666
OAK BROOK IL
60522
US

V. Phone/Fax

Practice location:
  • Phone: 630-875-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARC CRESCENZO
Title or Position: OWNER
Credential: M.D.
Phone: 630-472-8800