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PROCARE MEDICAL CENTER OF OAK PARK S.C.
NPI 1780830323
Family Medicine in Oak Park, IL

Active since August 14, 2008CLIA 14D0970047 · Waiver
6715 NORTH AVE, OAK PARK, IL 60302(708) 386-9600(708) 386-6558 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Procare Medical Center Of Oak Park S.c. NPPES

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

PROCARE MEDICAL CENTER OF OAK PARK S.C. (NPI 1780830323) is a healthcare organization registered as a family medicine in Oak Park, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Allan Momney, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780830323
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROCARE MEDICAL CENTER OF OAK PARK S.C.
Location Address6715 NORTH AVEOak Park, IL 60302-1006
Mailing Address6715 North AveOak Park, IL 60302-1006 · (708) 386-9600 · Fax (708) 386-6558
Phone(708) 386-9600
Fax(708) 386-6558
Organization SubpartNo
Authorized OfficialAllan MomneyOffice Manager · (708) 386-9600
Enumeration DateAugust 14, 2008
Last NPPES UpdateJune 4, 2010
✔ NPI 1780830323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036094250
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.
6715 NORTH AVE, Oak Park, IL 60302
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Other Identifiers 3

Medicaid036094250IL
Medicare UPING70107IL
Medicare PIN574330IL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Procare Medical Center Of Oak Park S.c. 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 Procare Medical Center Of Oak Park S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Alejandra Campos, M.D.
Internal Medicine
NPI 1932195146
6715 NORTH AVE
Oak Park, IL 60302
(708) 386-9600
✔ PECOS✔ Accepts MedicareSame address

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 14D0970047

Procare Medical Center · Oak Park, IL
Active · expires Feb 1, 2028
CLIA Number14D0970047
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorAlejandra Campos
Laboratory Phone(708) 386-9600
Laboratory LocationProcare Medical Center6715 W North Ave, Oak Park, IL 60302
CLIA data matches this NPI record on: Name Phone
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 Procare Medical Center Of Oak Park S.C.'s NPI number?

The NPI number for Procare Medical Center Of Oak Park S.C. is 1780830323. It was assigned to this organization in the NPPES registry on August 14, 2008.

Where is Procare Medical Center Of Oak Park S.C. located?

Procare Medical Center Of Oak Park S.C. is located at 6715 North Ave, Oak Park, IL 60302. The listed phone number is (708) 386-9600.

What is Procare Medical Center Of Oak Park S.C.'s specialty?

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

Is Procare Medical Center Of Oak Park S.C. enrolled in Medicare?

Yes. Procare Medical Center Of Oak Park S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Procare Medical Center Of Oak Park S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Procare Medical Center Of Oak Park S.C.. 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 Procare Medical Center Of Oak Park S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0970047) is associated with this NPI, valid through February 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 Procare Medical Center Of Oak Park S.C. was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.