PRAIRIE GLEN PRIMARY CARE, P.C.
NPI 1851458699
Clinic/Center - Primary Care in Lemont, IL

Active since January 02, 2007CLIA Certified · 2 labs
15505 127TH ST, LEMONT, IL 60439(630) 257-5400(630) 257-1954 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prairie Glen Primary Care, P.c. NPPES

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

PRAIRIE GLEN PRIMARY CARE, P.C. (NPI 1851458699) is a healthcare organization registered as a primary care in Lemont, Illinois and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Ilah Marie Heller-bair, Owner, as its authorized official.

NPPES Registry Identity

NPI1851458699
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRAIRIE GLEN PRIMARY CARE, P.C.
Location Address15505 127TH STLemont, IL 60439-4433
Mailing Address15505 127th StLemont, IL 60439-4433 · (630) 257-5400 · Fax (630) 257-1954
Fax(630) 257-1954
Organization SubpartNo
Authorized OfficialIlah Marie Heller-bairOwner · (630) 257-5400
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 27, 2011
NPI 1851458699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036110756
15505 127TH ST, Lemont, IL 60439

Other Identifiers 7

Medicare ID-Type UnspecifiedK15852IL
Medicare UPINE53864
Medicaid036110756IL
Other6599328IL · Cigna
Other01634883IL · Blue Cross Blue Shield O
Other5936374IL · Aetna
Other276IL · Silver Cross Managed Care

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 14D2138324

Prairie Glen Primary Care · Lemont, IL
Active · expires Oct 15, 2027
CLIA Number14D2138324
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorSushma Nagabhairva MD
Laboratory Phone(630) 257-5400
Laboratory LocationPrairie Glen Primary Care15505 E 127th Street Suite 100, Lemont, IL 60439
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1037505

Prairie Glen Primary Care PC · Lemont, IL
Active · expires Oct 14, 2026
CLIA Number14D1037505
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorIlah M. Heller-Bair
Laboratory Phone(630) 257-5400
Laboratory LocationPrairie Glen Primary Care PC15505 E 127th St - Silver Cross Bldg, Lemont, IL 60439
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
15505 127TH ST
LEMONT, IL 60439
Internal Medicine
15505 127TH ST
LEMONT, IL 60439
Internal Medicine
15505 127TH ST
LEMONT, IL 60439
Internal Medicine
15505 127TH ST
LEMONT, IL 60439

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 Prairie Glen Primary Care, P.C.'s NPI number?

The NPI number for Prairie Glen Primary Care, P.C. is 1851458699. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Prairie Glen Primary Care, P.C. located?

Prairie Glen Primary Care, P.C. is located at 15505 127th St, Lemont, IL 60439. The listed phone number is (630) 257-5400.

What is Prairie Glen Primary Care, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prairie Glen Primary Care, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Prairie Glen Primary Care, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Prairie Glen Primary Care, P.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 Prairie Glen Primary Care, P.C. was last updated on September 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.