BOLINGBROOK HEALTHCARE ASSOCIATES S.C.
NPI 1821296450
Clinic/Center - Health Service in Bolingbrook, IL

NPI Status: Active since July 05, 2007

Contact Information

181 FERNWOOD DR
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 759-9191
Fax: (630) 759-9118

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 14D1001176
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-01-2026

About BOLINGBROOK HEALTHCARE ASSOCIATES S.C.

This page provides the complete NPI Profile along with additional information for Bolingbrook Healthcare Associates S.c., a provider established in Bolingbrook, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1821296450 assigned on July 2007. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Munira Mamendra Patel M.d (Md)

NPI
1821296450
Provider Name
BOLINGBROOK HEALTHCARE ASSOCIATES S.C.
Entity Type
Organization
Location Address
181 FERNWOOD DR BOLINGBROOK, IL 60440
Location Phone
(630) 759-9191
Location Fax
(630) 759-9118
Mailing Address
181 FERNWOOD DR BOLINGBROOK, IL 60440
Mailing Phone
(630) 759-9191
Mailing Fax
(630) 759-9118
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2007
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MUNIRA MAMENDRA PATEL M.D

Authorized Official Title
MD
Authorized Official Phone
(630) 759-9191

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1001176
Facility Type
Physician Office
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
SURBHI P. SHAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bolingbrook Healthcare Associates S.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821296450, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 4 + 9 + 1 + 2 + 4 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1821296450.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine
181 FERNWOOD DR
BOLINGBROOK, IL 60440
Family Medicine
181 FERNWOOD DR
BOLINGBROOK, IL 60440
Family Medicine
181 FERNWOOD DR
BOLINGBROOK, IL 60440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821296450, enumerated as an "organization" on July 05, 2007.

The provider is located at 181 FERNWOOD DR BOLINGBROOK, IL 60440 and the phone number is (630) 759-9191.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.