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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NAPERVILLE FAMILY CLINIC SC
NPI 1720658248
Internal Medicine in Naperville, IL

Active since June 28, 2021CLIA 14D2254400 · Waiver
1879 BAY SCOTT CIR STE 111, NAPERVILLE, IL 60540(630) 961-1341(630) 961-1782 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jun 23, 2025, Jan 10, 2023 and 1 more (4 updates tracked since 2021).

About Naperville Family Clinic Sc NPPES

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

NAPERVILLE FAMILY CLINIC SC (NPI 1720658248) is a healthcare organization registered as an internal medicine in Naperville, Illinois and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Sunita Dervesh Koul, President, as its authorized official.

NPPES Registry Identity

NPI1720658248
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNAPERVILLE FAMILY CLINIC SC
Location Address1879 BAY SCOTT CIR STE 111Naperville, IL 60540-1109
Mailing Address1879 Bay Scott Cir Ste 111Naperville, IL 60540-1109 · (515) 991-7370
Phone(630) 961-1341
Fax(630) 961-1782
Organization SubpartNo
Authorized OfficialSunita Dervesh KoulPresident · (515) 991-7370
Enumeration DateJune 28, 2021
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1720658248 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.
1879 BAY SCOTT CIR STE 111, Naperville, IL 60540
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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

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 14D2254400

Naperville Family Clinic, Inc · Naperville, IL
Active · expires Mar 2, 2028
CLIA Number14D2254400
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorSunita Koul
Laboratory Phone(630) 961-1341
Laboratory LocationNaperville Family Clinic, Inc1879 Bay Scott Circle - Ste 111, Naperville, IL 60540
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUNITA DERVESH KOUL
Internal Medicine
1879 BAY SCOTT CIR STE 111
NAPERVILLE, IL 60540
Dupage County (630) 961-1341

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 Family Clinic Sc's NPI number?

The NPI number for Naperville Family Clinic Sc is 1720658248. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Naperville Family Clinic Sc located?

Naperville Family Clinic Sc is located at 1879 Bay Scott Cir Ste 111, Naperville, IL 60540. The listed phone number is (630) 961-1341.

What is Naperville Family Clinic Sc's specialty?

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

Does Naperville Family Clinic Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2254400) is associated with this NPI, valid through March 2, 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 Naperville Family Clinic Sc was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.