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NORTH SUBURBAN FAMILY PHYSICIANS
NPI 1740635432
Clinic/Center in Libertyville, IL

Active since April 29, 2016CLIA 14D2112530 · Waiver
1256 AMERICAN WAY, LIBERTYVILLE, IL 60048(224) 424-4624(224) 424-4631 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Suburban Family Physicians NPPES

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

NORTH SUBURBAN FAMILY PHYSICIANS (NPI 1740635432) is a healthcare organization registered as a clinic/center in Libertyville, Illinois and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Thomas Michael Mcgowan, Owner, as its authorized official.

NPPES Registry Identity

NPI1740635432
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTH SUBURBAN FAMILY PHYSICIANS SC
Location Address1256 AMERICAN WAYLibertyville, IL 60048-3936
Mailing Address1252-1256 American WayLibertyville, IL 60048-3936 · (224) 424-4624 · Fax (224) 424-4631
Phone(224) 424-4624
Fax(224) 424-4631
Organization SubpartNo
Authorized OfficialThomas Michael McgowanOwner · (224) 424-4624
Enumeration DateApril 29, 2016
Last NPPES UpdateFebruary 12, 2019
✔ NPI 1740635432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036105977
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1256 AMERICAN WAY, Libertyville, IL 60048
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Other Names 1

Doing Business AsNorth Suburban Family Physicians

Other Identifiers 1

Other036105977IL · License

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 14D2112530

North Suburban Family Physicians · Libertyville, IL
Active · expires May 1, 2028
CLIA Number14D2112530
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorThomas M. Mc Gowan MD
Laboratory Phone(847) 894-2738
Laboratory LocationNorth Suburban Family Physicians1256 American Way, Libertyville, IL 60048
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 North Suburban Family Physicians Sc's NPI number?

The NPI number for North Suburban Family Physicians Sc is 1740635432. It was assigned to this organization in the NPPES registry on April 29, 2016. The provider is doing business as North Suburban Family Physicians.

Where is North Suburban Family Physicians Sc located?

North Suburban Family Physicians Sc is located at 1256 American Way, Libertyville, IL 60048. The listed phone number is (224) 424-4624.

What is North Suburban Family Physicians Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does North Suburban Family Physicians Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2112530) is associated with this NPI, valid through May 1, 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 North Suburban Family Physicians Sc was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.