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WILLOWBROOK FAMILY PRACTICE LTD NPI 1033214531


NPI Information

NPI: 1033214531
Provider Name: WILLOWBROOK FAMILY PRACTICE LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2289656

Address:
6900 S MADISON ST
SUITE 101
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 986-1177
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WILLOWBROOK FAMILY PRACTICE 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 FAMILY PRACTICE LTD NPI is 1033214531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6900 S MADISON ST
SUITE 101
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 986-1177
Fax: (630) 986-1198

The provider's authorized official is Uma Taparia .
The authorized official title is President and has the following contact phone number (630) 986-1177.

The CLIA number assigned to this NPI record is 14D2289656 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036055916ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C42460MEDICARE UPIN
2643950MEDICARE PINILLINOIS

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: 4/28/2024

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