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NPI Code Detail

MEDICARE: JUVIA M DORN PA-C

MEDICARE: JUVIA M DORN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantIL

General Provider Information

NPI Number : 1093666935
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUVIA M DORN PA-C
Provider Business Mailing Address
First Line : 2000 OGDEN AVE STE P050
Second Line :
City : AURORA
State : IL
Zip : 60504-7222
Country : US
Telephone Number : 630-499-2404
Fax Number : 630-499-4750
Provider Business Practice Location Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 05/11/2026

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Directions to “ JUVIA M DORN PA-C” Practice Location

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