WILLOWBROOK MEDICAL CENTER LTD. NPI 1023231289

NPI Information

NPI: 1023231289
Provider Name: WILLOWBROOK MEDICAL CENTER LTD.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D1054875

Address:
535 PLAINFIELD ROAD
SUITE C
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 986-7501
Get Directions

WILLOWBROOK MEDICAL CENTER LTD. is a family medicine in Willowbrook, IL. The provider is 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. WILLOWBROOK MEDICAL CENTER LTD. NPI is 1023231289. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

535 PLAINFIELD ROAD
SUITE C
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 986-7501
Fax: (630) 986-7505

The provider's authorized official is Anthony L. Bilotta .
The authorized official title is President and has the following contact phone number (630) 986-7501.

The CLIA number assigned to this NPI record is 14D1054875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	173000000X	Legal Medicine		036078620	ILLINOIS	No
2	202C00000X	Independent Medical Examiner		036078620	ILLINOIS	No
3	207Q00000X	Family Medicine		036078620	ILLINOIS	No
4	208000000X	Pediatrics		036078620	ILLINOIS	No
5	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	036078620	ILLINOIS	No
6	2083X0100X	Preventive Medicine	Occupational Medicine	036078620	ILLINOIS	No
7	261QP2000X	Clinic/Center	Physical Therapy	036078620	ILLINOIS	No
8	261QU0200X	Clinic/Center	Urgent Care	036078620	ILLINOIS	No
9	207Q00000X	Family Medicine		036073808	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C34238	MEDICARE UPIN
2	K31293	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROSS
3	E24558	MEDICARE UPIN
4	K31292	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	BILOTTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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