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NPI 1417655465 · Internal Medicine Physician · Naperville, IL
Provider details
- NPI number
- 1417655465
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Lee, Director Contracting(413) 800-6069
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1525 Oxford Ln
Naperville, IL 60565-1511
Phone: (702) 762-2485
Fax: (609) 585-0309
Street-level locationGet directions
Mailing address
Po Box 7411009
Chicago, IL 60674-3009
Additional practice locations (3)
- 830 Lakeside CirPompano Beach, FL 33060-7748Phone: (609) 585-1122
- 10 Woodland DrCoventry, RI 02816-6716Phone: (872) 231-3162
- 1401 St Joseph PkwyHouston, TX 77002-8301Phone: (609) 585-1122
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.