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NAPERBROOK MEDICAL CENTER
NPI 1184801706
Clinic/Center - Primary Care in Bolingbrook, IL

Active since January 25, 2008CLIA 14D0911713 · Waiver
686 W BOUGHTON RD, BOLINGBROOK, IL 60440(630) 378-1234(630) 378-1155 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Naperbrook Medical Center NPPES

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

NAPERBROOK MEDICAL CENTER (NPI 1184801706) is a healthcare organization registered as a primary care in Bolingbrook, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Meher Bala Medavaram, President, as its authorized official.

NPPES Registry Identity

NPI1184801706
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNAPERBROOK MEDICAL CENTER
Location Address686 W BOUGHTON RDBolingbrook, IL 60440-1520
Mailing Address686 W Boughton RdBolingbrook, IL 60440-1520 · (630) 378-1234 · Fax (630) 378-1155
Phone(630) 378-1234
Fax(630) 378-1155
Organization SubpartNo
Authorized OfficialMeher Bala MedavaramPresident · (630) 378-1234
Enumeration DateJanuary 25, 2008
✔ NPI 1184801706 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 · 042-007177
686 W BOUGHTON RD, Bolingbrook, IL 60440
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING41052IL
Medicare PIN334770IL
Other09921620IL · Bluecross Blueshield

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 14D0911713

Naperbrook Medical Center · Bolingbrook, IL
Active · expires Feb 12, 2028
CLIA Number14D0911713
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorMeher B. Medavaram MD
Laboratory Phone(708) 378-1234
Laboratory LocationNaperbrook Medical Center686 West Boughton Road, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Address Name
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.

DR. SRINIVAS RAO SURABHI M.D.
Family Medicine
686 W BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 378-1234
DR. MEHER BALA MEDAVARAM M.D.
Family Medicine
686 W BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 378-1234

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 Naperbrook Medical Center's NPI number?

The NPI number for Naperbrook Medical Center is 1184801706. It was assigned to this organization in the NPPES registry on January 25, 2008.

Where is Naperbrook Medical Center located?

Naperbrook Medical Center is located at 686 W Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 378-1234.

What is Naperbrook Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Naperbrook Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0911713) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Naperbrook Medical Center was last updated on January 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.