NAPERVILLE MEDICAL GROUP CORPORATION
NPI 1639489057
Internal Medicine in Bolingbrook, IL

Active since October 19, 2010CLIA 14D2205127 · Waiver
454 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440(312) 823-3469(630) 759-4505 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Naperville Medical Group Corporation NPPES

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

NAPERVILLE MEDICAL GROUP CORPORATION (NPI 1639489057) is a healthcare organization registered as an internal medicine in Bolingbrook, Illinois and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Sijun Yang Yang, Director, as its authorized official.

NPPES Registry Identity

NPI1639489057
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNAPERVILLE MEDICAL GROUP CORPORATION
Location Address454 W BOUGHTON RD STE CBolingbrook, IL 60440-1378
Mailing Address1308 Little Berry CtNaperville, IL 60565-1751 · (630) 416-3191 · Fax (630) 416-3191
Fax(630) 759-4505
Organization SubpartNo
Authorized OfficialSijun Yang YangDirector · (630) 416-3191
Enumeration DateOctober 19, 2010
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1639489057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
454 W BOUGHTON RD STE C, Bolingbrook, IL 60440

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

Accepted 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 14D2205127

Naperville Medical Group · Bolingbrook, IL
Active · expires Dec 11, 2026
CLIA Number14D2205127
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorSijun Yang
Laboratory Phone(630) 759-0088
Laboratory LocationNaperville Medical Group454 W Boughton Road Suite C, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Address 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.

Internal Medicine
454 W BOUGHTON RD STE C
BOLINGBROOK, IL 60440

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 Naperville Medical Group Corporation's NPI number?

The NPI number for Naperville Medical Group Corporation is 1639489057. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Naperville Medical Group Corporation located?

Naperville Medical Group Corporation is located at 454 W Boughton Rd Ste C, Bolingbrook, IL 60440. The listed phone number is (312) 823-3469.

What is Naperville Medical Group Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Naperville Medical Group Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2205127) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Naperville Medical Group Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Naperville Medical Group Corporation 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 Naperville Medical Group Corporation was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.