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NEW SONG HEALTH CENTER
NPI 1366071896
Family Medicine in Bolingbrook, IL

Active since April 06, 2020CLIA 14D1001077 · Waiver
151 E BRIARCLIFF RD, BOLINGBROOK, IL 60440(630) 783-2832(630) 783-2837 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Song Health Center NPPES

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

NEW SONG HEALTH CENTER (NPI 1366071896), doing business as Bolingbrook Christian Health Center, is a healthcare organization registered as a family medicine in Bolingbrook, Illinois and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Susan Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366071896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW SONG HEALTH CENTER
Location Address151 E BRIARCLIFF RDBolingbrook, IL 60440-3070
Mailing Address151 E Briarcliff RdBolingbrook, IL 60440-3070 · (630) 783-2832 · Fax (630) 783-2837
Phone(630) 783-2832
Fax(630) 783-2837
Organization SubpartNo
Authorized OfficialSusan DavisExecutive Director · (630) 783-2832
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1366071896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
151 E BRIARCLIFF RD, Bolingbrook, IL 60440
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Other Names 1

Doing Business AsBolingbrook Christian Health Center

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 14D1001077

New Song Health Center D/B/A Bolingbrook Christian Health Center · Bolingbrook, IL
Active · expires Jun 27, 2028
CLIA Number14D1001077
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorSusan M. Davis
Laboratory Phone(630) 783-2832
Laboratory LocationNew Song Health Center D/B/A Bolingbrook Christian Health Center151 East Briarcliff Road, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JANET RITTER BS PHARMACY, PHARMD
Pharmacist (Ambulatory Care)
151 E BRIARCLIFF RD
BOLINGBROOK, IL 60440
Will County (630) 783-2832
ALYSA ANGEL APRN, FNP-BC, PMHNP
Nurse Practitioner (Family)
151 E BRIARCLIFF RD
BOLINGBROOK, IL 60440
Will County (630) 783-2832
HADASAH MADDELA
Physical Therapist
151 E BRIARCLIFF RD
BOLINGBROOK, IL 60440
Will County (630) 783-2832

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 New Song Health Center's NPI number?

The NPI number for New Song Health Center is 1366071896. It was assigned to this organization in the NPPES registry on April 6, 2020. The provider is doing business as Bolingbrook Christian Health Center.

Where is New Song Health Center located?

New Song Health Center is located at 151 E Briarcliff Rd, Bolingbrook, IL 60440. The listed phone number is (630) 783-2832.

What is New Song Health Center's specialty?

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

Does New Song Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1001077) is associated with this NPI, valid through June 27, 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 New Song Health Center was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.