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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: September 06, 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
Phone(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 ListedInternal Medicine · Clinical & Laboratory ImmunologyTaxonomy 207RI0001X
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036129282 (IL)
Also ListedPathology · Clinical Laboratory Director, Non-physicianTaxonomy 247ZC0005X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 036129282 (IL)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1200 ROOSEVELT RD STE 140, Glen Ellyn, IL 60137
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

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.

DR. ALA JABER ALBAZZAZ M.D.
Internal Medicine (Geriatric Medicine)
1200 ROOSEVELT RD STE 140
GLEN ELLYN, IL 60137
Dupage County (708) 307-2103
RACHEL ACHEAMPONG
Nurse Practitioner (Family)
1200 ROOSEVELT RD STE 140
GLEN ELLYN, IL 60137
Dupage County (630) 423-3507

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.

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.

What insurance does Skyline Physicians LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Skyline Physicians LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.