NEW SONG HEALTH CENTER NPI 1366071896

NPI Information

  • NPI: 1366071896
  • Provider Name: NEW SONG HEALTH CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D1001077
  • Address: 151 E BRIARCLIFF RD
    BOLINGBROOK, IL
    ZIP 60440
  • Phone: (630) 783-2832

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NPI Details

NEW SONG HEALTH CENTER is a family medicine in Bolingbrook, 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. NEW SONG HEALTH CENTER NPI is 1366071896. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

151 E BRIARCLIFF RD
BOLINGBROOK, IL
ZIP 60440-070
Phone: (630) 783-2832
Fax: (630) 783-2837

The provider's authorized official is Susan Davis .
The authorized official title is Executive Director and has the following contact phone number (630) 783-2832.

The CLIA number assigned to this NPI record is 14D1001077 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/6/2020.

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
1207Q00000XFamily MedicineYes

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: 3/30/2025

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