14D1054875 CLIA NUMBER - WILLOWBROOK MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D1054875

Facility Name: WILLOWBROOK MEDICAL CENTER

Facility Address:
535 PLAINFIELD RD, SUITE C
WILLOWBROOK, IL
ZIP 60527
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Facility Phone Number: 630 986-7501

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023231289

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D1054875
LAB Type	Physician Office
Facility Name	WILLOWBROOK MEDICAL CENTER
Street	535 PLAINFIELD RD, SUITE C
City	WILLOWBROOK
State	IL
ZIP	60527
Phone	630 986-7501
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024