CENTER STREET MEDICAL
NPI 1114119245
Clinic/Center - Primary Care in Elmhurst, IL

Active since August 13, 2007CLIA 14D0706197 · Waiver
103 N HAVEN RD FL 2, ELMHURST, IL 60126(630) 595-9988(331) 225-2296 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Center Street Medical NPPES

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

CENTER STREET MEDICAL (NPI 1114119245) is a healthcare organization registered as a primary care in Elmhurst, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Margaret Hornstra, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114119245
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAUL M. BAUBLY, M.D. S. C.
Location Address103 N HAVEN RD FL 2Elmhurst, IL 60126-2973
Mailing Address103 N Haven Rd Fl 2Elmhurst, IL 60126-2973 · (630) 595-9988 · Fax (313) 225-2296
Fax(331) 225-2296
Organization SubpartNo
Authorized OfficialMargaret HornstraOffice Manager · (630) 595-9988
Enumeration DateAugust 13, 2007
Last NPPES UpdateSeptember 24, 2018
NPI 1114119245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036082085
103 N HAVEN RD FL 2, Elmhurst, IL 60126

Other Names 1

Doing Business AsCenter Street Medical

Other Identifiers 1

Medicaid036082085IL

CLIA Laboratory Certificates CMS CLIA

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 14D0706197

Center Street Medical S C · Elmhurst, IL
Active · expires Aug 31, 2026
CLIA Number14D0706197
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaul M. Baubly MD
Laboratory Phone(630) 595-9988
Laboratory LocationCenter Street Medical S C103 Haven Rd, Ste 2, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
103 N HAVEN RD FL 2
ELMHURST, IL 60126
Dietitian, Registered
103 N HAVEN RD FL 2
ELMHURST, IL 60126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114119245, enumerated as an "organization" on August 13, 2007.

The provider is located at 103 N HAVEN RD FL 2 ELMHURST, IL 60126 and the phone number is (630) 595-9988.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.