SKYLINE PHYSICIANS LLC
NPI 1568704443
Family Medicine in Glen Ellyn, IL

Active since March 19, 2013CLIA 14D2251001 · Waiver
1200 ROOSEVELT RD STE 140, GLEN ELLYN, IL 60137(708) 307-2103 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 4, 2023, Sep 5, 2023, Jan 12, 2022 (3 updates tracked since 2022).

About Skyline Physicians Llc NPPES

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

SKYLINE PHYSICIANS LLC (NPI 1568704443) is a healthcare organization registered as a family medicine in Glen Ellyn, Illinois and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Rafai Bukhari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568704443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSKYLINE PHYSICIANS LLC
Location Address1200 ROOSEVELT RD STE 140Glen Ellyn, IL 60137-7813
Mailing Address1200 Roosevelt Rd Ste 140Glen Ellyn, IL 60137-7813 · (708) 307-2103
Organization SubpartNo
Authorized OfficialRafai BukhariCeo · (708) 307-2103
Enumeration DateMarch 19, 2013
Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1568704443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036129282
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 ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036129282 (IL)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 036129282 (IL)
Also ListedInternal MedicineTaxonomy 207R00000X · License 036129282 (IL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036129282 (IL)
Also ListedClinic/CenterTaxonomy 261Q00000X · License 036129282 (IL)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1200 ROOSEVELT RD STE 140, Glen Ellyn, IL 60137

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skyline Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Skyline Physicians LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Internal Medicine11
Nurse Practitioner6
Family Practice2
Optometry1
Pediatric Medicine1

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1851104996
1200 ROOSEVELT RD STE 140
Glen Ellyn, IL 60137
(630) 423-3507
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1134362833
1200 ROOSEVELT RD STE 140
Glen Ellyn, IL 60137
(708) 307-2103
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1255560413
630 N ADDISON RD
Villa Park, IL 60181
(708) 636-9393
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1538844626
7435 W TALCOTT AVE
Chicago, IL 60631
(224) 817-8418
✔ PECOS✔ Accepts Medicare14 mi
Pediatric Medicine
NPI 1952544918
1585 BARRINGTON RD SUITE 601-A , DOCTOR'S BUILDING#2
Hoffman Estates, IL 60169
(847) 884-5911
✔ PECOS15 mi
Nurse Practitioner
NPI 1093437105
7124 W 83RD ST UNIT C
Bridgeview, IL 60455
(708) 424-0909
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1619917523
2359 HASSELL RD
Hoffman Estates, IL 60169
(630) 469-9200
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1225123615
161 S LINCOLNWAY STE 210
North Aurora, IL 60542
(630) 599-7550
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1215980289
4 RIVER HILLS CT
Bolingbrook, IL 60490
(630) 423-3507
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1003308255
4061 W 95TH ST
Oak Lawn, IL 60453
(708) 423-2880
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1124215264
3650 W 95TH ST
Evergreen Park, IL 60805
(708) 422-7715
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1598710014
4646 N MARINE DR SUITE # C6500
Chicago, IL 60640
(773) 728-4655
✔ PECOS21 mi
Internal Medicine
NPI 1437531811
2525 S MICHIGAN AVE
Chicago, IL 60616
(815) 519-9261
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1962882456
17800 KEDZIE AVE
Hazel Crest, IL 60429
(708) 799-8000
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1013928712
145 S VIRGINIA ST STE C
Crystal Lake, IL 60014
(815) 363-6055
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1609180249
5500 HOHMAN AVE
Hammond, IN 46320
(219) 401-2969
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1265446017
501 N RIVERSIDE DR SUITE 102
Gurnee, IL 60031
(847) 625-8300
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1992089742
2106 GRAND AVE UNIT 2
Waukegan, IL 60085
(224) 381-7672
✔ PECOS36 mi
Internal Medicine
NPI 1295197481
150 W HIGH ST
Morris, IL 60450
(815) 942-2932
✔ PECOS✔ Accepts Medicare40 mi
Internal Medicine
NPI 1235572413
8249 W 95TH ST STE 105
Overland Park, KS 66212
(913) 652-6640
✔ PECOS404 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2251001

Skyline Physicians LLC · Glen Ellyn, IL
Active · expires Jan 30, 2028
CLIA Number14D2251001
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRafai A. Bukhari
Laboratory Phone(630) 423-3507
Laboratory LocationSkyline Physicians LLC1200 Roosevelr Rd - Ste 140, Glen Ellyn, IL 60137
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Skyline Physicians LLC's NPI number?

The NPI number for Skyline Physicians LLC is 1568704443. It was assigned to this organization in the NPPES registry on March 19, 2013.

Where is Skyline Physicians LLC located?

Skyline Physicians LLC is located at 1200 Roosevelt Rd Ste 140, Glen Ellyn, IL 60137. The listed phone number is (708) 307-2103.

What is Skyline Physicians LLC's specialty?

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

Is Skyline Physicians LLC enrolled in Medicare?

Yes. Skyline Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skyline Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Skyline Physicians LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (11), Nurse Practitioner (6) and Family Practice (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skyline Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2251001) is associated with this NPI, valid through January 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 Skyline Physicians LLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.