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BROOKVILLE MEDICAL CENTER
NPI 1780606566
Family Medicine in Bolingbrook, IL

Active since July 24, 2006CLIA 14D1039164 · Microscopy
730 S WEBER RD, UNIT G, BOLINGBROOK, IL 60490(630) 378-2000 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookville Medical Center NPPES

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

BROOKVILLE MEDICAL CENTER (NPI 1780606566) is a healthcare organization registered as a family medicine in Bolingbrook, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through May 10, 2028 and lists Datta Sambare, President, as its authorized official.

NPPES Registry Identity

NPI1780606566
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDATTA SAMBARE M D S C
Location Address730 S WEBER RD, UNIT GBolingbrook, IL 60490-5472
Mailing AddressPo Box 215Westmont, IL 60559-0215
Phone(630) 378-2000
Organization SubpartYes
Authorized OfficialDatta SambarePresident · (630) 378-2000
Enumeration DateJuly 24, 2006
Last NPPES UpdateMarch 29, 2016
✔ NPI 1780606566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
730 S WEBER RD, Bolingbrook, IL 60490
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Other Names 1

Doing Business AsBrookville Medical Center

Other Identifiers 1

Medicare PIN210063IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 for Provider-Performed Microscopy Procedures (PPMP) 14D1039164

Brookville Medical Center · Bolingbrook, IL
Active · expires May 10, 2028
CLIA Number14D1039164
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorVarsha D. Sambare
Laboratory Phone(630) 378-2000
Laboratory LocationBrookville Medical Center730 S Weber Rd, Bolingbrook, IL 60490
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

MONIQUE LATRICE SZCZEPANIK APRN, FNP-BC
Nurse Practitioner (Family)
730 S WEBER RD
BOLINGBROOK, IL 60490
Will County (630) 378-2000
DR. MOHAMMED MURTAZA ARAIN M.D.
Specialist
730 S WEBER RD, UNIT G
BOLINGBROOK, IL 60490
Will County (630) 759-8700

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 Datta Sambare M D S C's NPI number?

The NPI number for Datta Sambare M D S C is 1780606566. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Brookville Medical Center.

Where is Datta Sambare M D S C located?

Datta Sambare M D S C is located at 730 S Weber Rd Unit G, Bolingbrook, IL 60490. The listed phone number is (630) 378-2000.

What is Datta Sambare M D S C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Datta Sambare M D S C hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1039164) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Datta Sambare M D S C accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Datta Sambare M D 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 Datta Sambare M D S C was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.