SUBURBAN WELLNESS SC
NPI 1871921999
Internal Medicine in Homer Glen, IL
About Suburban Wellness Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBURBAN WELLNESS SC (NPI 1871921999) is a healthcare organization registered as an internal medicine in Homer Glen, Illinois and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Sudarsana Chakrabarti, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 14D2099448
Suburban Wellness Sc · Homer Glen, 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 Suburban Wellness Sc's NPI number?
The NPI number for Suburban Wellness Sc is 1871921999. It was assigned to this organization in the NPPES registry on October 29, 2013.
Where is Suburban Wellness Sc located?
Suburban Wellness Sc is located at 15750 S Bell Rd Ste 2D, Homer Glen, IL 60491. The listed phone number is (708) 737-7136.
What is Suburban Wellness Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does Suburban Wellness Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2099448) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Suburban Wellness Sc was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.