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PROSPECT HEALTHCARE SC
NPI 1194044743
Family Medicine in Lombard, IL

Active since May 21, 2010CLIA 14D2080173 · Waiver
2 E 22ND ST, SUITE 110, LOMBARD, IL 60148(630) 376-6317(630) 376-6319 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Sep 13, 2016 (2 updates tracked since 2016).

About Prospect Healthcare Sc NPPES

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

PROSPECT HEALTHCARE SC (NPI 1194044743) is a healthcare organization registered as a family medicine in Lombard, Illinois and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Mohammad A Toor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194044743
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROSPECT HEALTHCARE SC
Location Address2 E 22ND ST, SUITE 110Lombard, IL 60148-6106
Mailing Address2 E 22nd St Ste 215Lombard, IL 60148-6125 · (630) 376-6317 · Fax (630) 376-6319
Phone(630) 376-6317
Fax(630) 376-6319
Organization SubpartNo
Authorized OfficialMohammad A ToorMedical Director · (815) 722-8106
Enumeration DateMay 21, 2010
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1194044743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
2 E 22ND ST, Lombard, IL 60148
Open in Google Maps ↗

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

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 14D2080173

Prospect Healthcare S C · Lombard, IL
Active · expires Jun 30, 2028
CLIA Number14D2080173
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorGartell King
Laboratory Phone(630) 376-6317
Laboratory LocationProspect Healthcare S C2 East 22nd St, Suite 306, Lombard, IL 60148
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. NANCY STAMAS LPC
Counselor (Professional)
2 E 22ND ST, 302
LOMBARD, IL 60148
Dupage County (630) 495-2014
ADULTCHILDRENCENTERLTD
Counselor (Professional)
2 E 22ND ST, 302
LOMBARD, IL 60148
Dupage County (630) 495-2014
MRS. SANDRA THERESE LUCAS RDH
Dental Hygienist
2 E 22ND ST, GROVE DENTAL ASSOCIATES
LOMBARD, IL 60148
Dupage County (630) 627-4680
MS. LORRI FISHER LCSW
Social Worker (Clinical)
2 E 22ND ST
LOMBARD, IL 60148
Dupage County (630) 495-2014
MICHELLE LISZKA
Dental Hygienist
2 E 22ND ST, SUITE 201
LOMBARD, IL 60148
Dupage County (630) 627-4680
DR. JOHN CARL FRENZEL
Dentist
2 E 22ND ST
LOMBARD, IL 60148
Dupage County (630) 627-4680
MISS CARRIE LYNN NAYDENOFF R.D.H.
Dental Hygienist
2 E 22ND ST, SUITE 201
LOMBARD, IL 60148
Dupage County (630) 627-4680
MR. TOM STAMAS LCPC, CADC
Counselor (Professional)
2 E 22ND ST, SUITE 302
LOMBARD, IL 60148
Dupage County (630) 495-2014

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 Prospect Healthcare Sc's NPI number?

The NPI number for Prospect Healthcare Sc is 1194044743. It was assigned to this organization in the NPPES registry on May 21, 2010.

Where is Prospect Healthcare Sc located?

Prospect Healthcare Sc is located at 2 E 22nd St Suite 110, Lombard, IL 60148. The listed phone number is (630) 376-6317.

What is Prospect Healthcare Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prospect Healthcare Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2080173) is associated with this NPI, valid through June 30, 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 Prospect Healthcare Sc was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.