GOLF MILL MEDICAL CENTER LTD
NPI 1447356696
Family Medicine in Niles, IL

Active since September 15, 2006CLIA 14D1003962 · Waiver
7124 W TOUHY AVE, NILES, IL 60714(847) 983-8695(847) 972-1926 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golf Mill Medical Center Ltd NPPES

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

GOLF MILL MEDICAL CENTER LTD (NPI 1447356696) is a healthcare organization registered as a family medicine in Niles, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Edward E Hernaez, Md, as its authorized official.

NPPES Registry Identity

NPI1447356696
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOLF MILL MEDICAL CENTER LTD
Location Address7124 W TOUHY AVENiles, IL 60714-4526
Mailing Address7124 W Touhy AveNiles, IL 60714-4526 · (847) 983-8695 · Fax (847) 972-1926
Fax(847) 972-1926
Organization SubpartNo
Authorized OfficialEdward E HernaezMd · (847) 983-8695
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 22, 2013
NPI 1447356696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036093705
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 ListedPediatricsTaxonomy 208000000X · License 036083674 (IL)
7124 W TOUHY AVE, Niles, IL 60714

Other Names 1

Doing Business AsGolf Mill Medical Center Ltd

Other Identifiers 2

Medicare UPING34901IL
Medicare ID-Type UnspecifiedL94770IL

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 14D1003962

Golf Mill Medical Center · Niles, IL
Active · expires Sep 15, 2026
CLIA Number14D1003962
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorNida B. Blankas-Hernaez
Laboratory Phone(847) 983-8695
Laboratory LocationGolf Mill Medical Center7124 W Touhy Ave, Niles, IL 60714
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 2

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

Psychologist (Clinical)
7124 W TOUHY AVE
NILES, IL 60714
Family Medicine
7124 W TOUHY AVE
NILES, IL 60714

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 Golf Mill Medical Center Ltd's NPI number?

The NPI number for Golf Mill Medical Center Ltd is 1447356696. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Golf Mill Medical Center Ltd located?

Golf Mill Medical Center Ltd is located at 7124 W Touhy Ave, Niles, IL 60714. The listed phone number is (847) 983-8695.

What is Golf Mill Medical Center Ltd's specialty?

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

Does Golf Mill Medical Center Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1003962) is associated with this NPI, valid through September 15, 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 Golf Mill Medical Center Ltd was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.