1. Home
  2. Directory
  3. Illinois
  4. Addison
  5. Internal Medicine
  6. NPI Profile

ELMHURST MEMORIAL HEALTHCARE
NPI 1003046103
Internal Medicine in Addison, IL

Active since July 23, 2009CLIA Certified · 4 labs
303 W LAKE ST, SUITE 202, ADDISON, IL 60101(630) 953-3301(630) 953-3302 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jun 4, 2025, Nov 8, 2018 (3 updates tracked since 2018).

About Elmhurst Memorial Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMHURST MEMORIAL HEALTHCARE (NPI 1003046103), doing business as Elmhurst Clinic, is a healthcare organization registered as an internal medicine in Addison, Illinois and active in the NPI registry since July 2009. The organization holds 4 active CLIA laboratory certificates and lists Donald Lurye, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003046103
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELMHURST MEMORIAL HEALTHCARE
Location Address303 W LAKE ST, SUITE 202Addison, IL 60101-2586
Mailing Address172 Schiller StElmhurst, IL 60126-2816 · (331) 221-6377 · Fax (331) 221-2706
Phone(630) 953-3301
Fax(630) 953-3302
Organization SubpartNo
Authorized OfficialDonald LuryeCeo · (331) 221-9055
Enumeration DateJuly 23, 2009
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1003046103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
303 W LAKE ST, Addison, IL 60101
Open in Google Maps ↗

Other Names 1

Doing Business AsElmhurst Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0415670

Elmhurst Memorial Healthcare - Ob/Gyn Wmob 308 · Elmhurst, IL
Active · expires Jan 4, 2028
CLIA Number14D0415670
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorSan Juan L. Armando
Laboratory Phone(331) 221-5376
Laboratory LocationElmhurst Memorial Healthcare - Ob/Gyn Wmob 308133 E Brush Hill Rd, Ste 308, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2134893

Elmhurst Memorial Healthcare Obgyn · Elmhurst, IL
Active · expires Jan 4, 2028
CLIA Number14D2134893
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorArmando San Juan
Laboratory Phone(331) 221-5376
Laboratory LocationElmhurst Memorial Healthcare Obgyn755 N York St, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2050502

Elmhurst Memorial Healthcare Ob/Gyne Ste 4120 · Elmhurst, IL
Active · expires Dec 12, 2027
CLIA Number14D2050502
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorMary Saracco
Laboratory Phone(331) 221-5376
Laboratory LocationElmhurst Memorial Healthcare Ob/Gyne Ste 41201200 S York Rd, Ste 4120, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2119693

Elmhurst Memorial Healthcare Ob Gyne/Peds · Elmhurst, IL
Active · expires Oct 2, 2026
CLIA Number14D2119693
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorMatthew Zuckerman
Laboratory Phone(331) 221-5376
Laboratory LocationElmhurst Memorial Healthcare Ob Gyne/Peds1200 S York Rd, Ste 2000, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALE LIAUGMINAS, M.D. S.C.
Specialist
303 W LAKE ST, #201
ADDISON, IL 60101
Dupage County (630) 628-8450
JOHN SCHROEDER LPC, NBCC
Counselor (Professional)
303 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 527-3200
AMY LEE APRN-FPA
Nurse Practitioner
303 W LAKE ST
ADDISON, IL 60101
Dupage County (331) 221-0570
RACHEL RAMIREZ PA-C
Physician Assistant
303 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 527-3645
ISABELLA KISTULINEC PSYD
Psychologist (Clinical)
303 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 527-3645
ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC
Clinic/Center
303 W LAKE ST, SUITE 206
ADDISON, IL 60101
Dupage County (630) 543-4200
DR. PETER T SCHUBEL M.D.
Emergency Medicine
303 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 527-3645
MAGDALENA OTTOSEN APN-DNP
Nurse Practitioner
303 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 527-3645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmhurst Memorial Healthcare's NPI number?

The NPI number for Elmhurst Memorial Healthcare is 1003046103. It was assigned to this organization in the NPPES registry on July 23, 2009. The provider is doing business as Elmhurst Clinic.

Where is Elmhurst Memorial Healthcare located?

Elmhurst Memorial Healthcare is located at 303 W Lake St Suite 202, Addison, IL 60101. The listed phone number is (630) 953-3301.

What is Elmhurst Memorial Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Elmhurst Memorial Healthcare hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Elmhurst Memorial Healthcare was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.