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CLINIC
NPI 1407928807
Family Medicine in Chicago, IL

Active since November 14, 2006CLIA 14D0895392 · Waiver
2100 S INDIANA AVE, STE 111, CHICAGO, IL 60616(312) 842-3700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Clinic NPPES

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

CLINIC (NPI 1407928807) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists William Blake, Principal Officer, as its authorized official.

NPPES Registry Identity

NPI1407928807
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameF G L LERNER MD SERVICES LTD
Location Address2100 S INDIANA AVE, STE 111Chicago, IL 60616-1381
Mailing Address2100 S Indiana Ave, Ste 111Chicago, IL 60616-1381 · (312) 842-3700
Phone(312) 842-3700
Organization SubpartNo
Authorized OfficialWilliam BlakePrincipal Officer · (312) 842-3700
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407928807 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.
2100 S INDIANA AVE, Chicago, IL 60616
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Other Names 1

Doing Business AsClinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 14D0895392

Clinical Research Unit · Chicago, IL
Active · expires Oct 3, 2026
CLIA Number14D0895392
Laboratory TypeNih Funded Clinical Resea
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorDr. Wenyu Huang
Laboratory Phone(312) 926-3194
Laboratory LocationClinical Research Unit676 N Saint Clair - Arkes 14-102, Chicago, IL 60611
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

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

FGL LERNER MD SERVICES LTD
Family Medicine (Adult Medicine)
2100 S INDIANA AVE, STE 111
CHICAGO, IL 60616
Cook County (312) 842-3700

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 F G L Lerner MD Services Ltd's NPI number?

The NPI number for F G L Lerner MD Services Ltd is 1407928807. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Clinic.

Where is F G L Lerner MD Services Ltd located?

F G L Lerner MD Services Ltd is located at 2100 S Indiana Ave Ste 111, Chicago, IL 60616. The listed phone number is (312) 842-3700.

What is F G L Lerner MD Services Ltd's specialty?

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

Does F G L Lerner MD Services Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0895392) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for F G L Lerner MD Services Ltd was last updated on August 22, 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.