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GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
NPI 1013415603
General Practice in Berwyn, IL

Active since January 29, 2018CLIA Certified · 2 labs
3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-3125 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Dec 16, 2019 (2 updates tracked since 2019).

About Gottlieb Community Health Services Corporation NPPES

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

GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION (NPI 1013415603) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates and lists Adenrele Kolawole, Director Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1013415603
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429
Mailing Address2160 S 1st Ave Bldg 102Maywood, IL 60153-3328 · (708) 216-8686 · Fax (708) 216-8059
Phone(708) 783-3125
Organization SubpartNo
Authorized OfficialAdenrele KolawoleDirector Billing Operations · (708) 216-3743
Enumeration DateJanuary 29, 2018
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1013415603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3249 OAK PARK AVE, Berwyn, IL 60402
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0699740

Gottlieb Community Health Services Corporation D B A Macneal Hospital · Berwyn, IL
Active · expires Aug 12, 2027
CLIA Number14D0699740
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorAlina V. Merrill D O
Laboratory Phone(708) 783-2000
Laboratory LocationGottlieb Community Health Services Corporation D B A Macneal Hospital3231 S Euclid Ave 5th Fl, Berwyn, IL 60402
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.

Certificate of Waiver 14D0922131

Gottlieb Community Health Services Corporation D B A Macneal Hospital · Berwyn, IL
Active · expires Nov 14, 2026
CLIA Number14D0922131
Laboratory TypeHospital
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorJennifer Scheeringa
Laboratory Phone(708) 788-9100
Laboratory LocationGottlieb Community Health Services Corporation D B A Macneal Hospital3249 S Oak Park Ave, Berwyn, IL 60402
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

MRS. DANIELLE GENGO R.D.
Dietitian, Registered
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3077
MARIA RAMIREZ
Family Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
PATRICIA NAUGHTON MD
Obstetrics & Gynecology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3792
PAUL G FAINE M.D.
Emergency Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
DR. BHARTI RAIZADA M.D,
Anesthesiology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6339
SHEENA REDDY KODAVALURU M.D.
Internal Medicine
3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402
Cook County (708) 783-9100
DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD
Student in an Organized Health Care Education/Training Program
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6566
DR. JUSTYNA KUKULKA-HOFFMEISTER MD
Family Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-2000

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 Gottlieb Community Health Services Corporation's NPI number?

The NPI number for Gottlieb Community Health Services Corporation is 1013415603. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Gottlieb Community Health Services Corporation located?

Gottlieb Community Health Services Corporation is located at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3125.

What is Gottlieb Community Health Services Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Gottlieb Community Health Services Corporation hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Gottlieb Community Health Services Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gottlieb Community Health Services Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gottlieb Community Health Services Corporation was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.