ST MARY INTERNAL MEDICINE ASSOCIATES S C
NPI 1710009204
Clinic/Center - Primary Care in Plainfield, IL

Active since April 04, 2007CLIA 14D1000895 · Waiver
2320 S ROUTE 59, PLAINFIELD, IL 60586(815) 609-9480(815) 609-9482 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Mary Internal Medicine Associates S C NPPES

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

ST MARY INTERNAL MEDICINE ASSOCIATES S C (NPI 1710009204) is a healthcare organization registered as a primary care in Plainfield, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Ashraf Assaad Iskander, President, as its authorized official.

NPPES Registry Identity

NPI1710009204
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST MARY INTERNAL MEDICINE ASSOCIATES S C
Location Address2320 S ROUTE 59Plainfield, IL 60586-7756
Mailing Address2320 S Route 59Plainfield, IL 60586-7756 · (815) 609-9480 · Fax (815) 609-9482
Fax(815) 609-9482
Organization SubpartNo
Authorized OfficialAshraf Assaad IskanderPresident · (815) 609-9480
Enumeration DateApril 4, 2007
Last NPPES UpdateNovember 30, 2010
NPI 1710009204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036094077
2320 S ROUTE 59, Plainfield, IL 60586

Other Identifiers 3

Medicare ID-Type Unspecified201473IL
Medicaid036094077IL
Medicare UPING81406IL

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 14D1000895

St Marys Internal Medicine · Plainfield, IL
Active · expires Jun 24, 2028
CLIA Number14D1000895
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorAshraf A. Iskander
Laboratory Phone(815) 609-9480
Laboratory LocationSt Marys Internal Medicine2320 S Route 59, Plainfield, IL 60586
CLIA data matches this NPI record on: Address Phone
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
2320 S ROUTE 59
PLAINFIELD, IL 60586

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 St Mary Internal Medicine Associates S C's NPI number?

The NPI number for St Mary Internal Medicine Associates S C is 1710009204. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is St Mary Internal Medicine Associates S C located?

St Mary Internal Medicine Associates S C is located at 2320 S Route 59, Plainfield, IL 60586. The listed phone number is (815) 609-9480.

What is St Mary Internal Medicine Associates S C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does St Mary Internal Medicine Associates S C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1000895) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Mary Internal Medicine Associates S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list St Mary Internal Medicine Associates S C 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 St Mary Internal Medicine Associates S C was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.