DEMASK FAMILY MEDICAL S.C.
NPI 1720126675
Clinic/Center - Primary Care in Minooka, IL

Active since February 02, 2007CLIA 14D1064539 · Waiver
201 S WABENA AVE, SUITE LL-A, MINOOKA, IL 60447(815) 467-5100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Demask Family Medical S.c. NPPES

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

DEMASK FAMILY MEDICAL S.C. (NPI 1720126675) is a healthcare organization registered as a primary care in Minooka, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists John A. Demask, President Physician, as its authorized official.

NPPES Registry Identity

NPI1720126675
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDEMASK FAMILY MEDICAL S.C.
Location Address201 S WABENA AVE, SUITE LL-AMinooka, IL 60447-8723
Mailing Address201 S Wabena Ave, Suite Ll-aMinooka, IL 60447-8723
Organization SubpartNo
Authorized OfficialJohn A. DemaskPresident Physician · (815) 467-5100
Enumeration DateFebruary 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1720126675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
201 S WABENA AVE, Minooka, IL 60447

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 14D1064539

Demask Family Medical S C · Channahon, IL
Active · expires Feb 7, 2027
CLIA Number14D1064539
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorJohn A. Demask
Laboratory Phone(815) 467-5100
Laboratory LocationDemask Family Medical S C24724 W Eames St, Channahon, IL 60410
CLIA data matches this NPI record on: 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.

Family Medicine
201 S WABENA AVE
MINOOKA, IL 60447
Internal Medicine
201 S WABENA AVE
MINOOKA, IL 60447

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 Demask Family Medical S.C.'s NPI number?

The NPI number for Demask Family Medical S.C. is 1720126675. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Demask Family Medical S.C. located?

Demask Family Medical S.C. is located at 201 S Wabena Ave Suite Ll-A, Minooka, IL 60447. The listed phone number is (815) 467-5100.

What is Demask Family Medical S.C.'s specialty?

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

Does Demask Family Medical S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1064539) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Demask Family Medical S.C. was last updated on August 22, 2020. 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.