NORTH SUBURBAN FAMILY PHYSICIANS
NPI 1740635432
Clinic/Center in Libertyville, IL
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Suburban Family Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Suburban Family Physicians, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
Is North Suburban Family Physicians Sc enrolled in Medicare?
Yes. North Suburban Family Physicians Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Suburban Family Physicians Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to North Suburban Family Physicians Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# North Suburban Family Physicians · NPI 1740635432
Clinic/Center organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since April 29, 2016.
## Identity
- **NPI:** 1740635432 (Entity type: Organization)
- **Enumerated:** April 29, 2016
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** North Suburban Family Physicians Sc
- **Organization subpart:** No
- **Authorized official:** Thomas Mcgowan, OWNER
## Practice location
- **Address:** 1256 AMERICAN WAY, Libertyville, IL 60048-3936
- **Phone:** (224) 424-4624 · **Fax:** (224) 424-4631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2019
- **Other identifiers:** Other 036105977 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740635432) · Data from the CMS NPPES public registry.