SUBURBAN WELLNESS SC
NPI 1871921999
Internal Medicine in Homer Glen, IL

Active since October 29, 2013CLIA 14D2099448 · Waiver
15750 S BELL RD STE 2D, HOMER GLEN, IL 60491(708) 737-7136(708) 887-5886 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1871921999
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUBURBAN WELLNESS SC
Location Address15750 S BELL RD STE 2DHomer Glen, IL 60491-8420
Mailing Address113 Circle Ridge DrBurr Ridge, IL 60527-8380 · (708) 737-7136
Fax(708) 887-5886
Organization SubpartNo
Authorized OfficialSudarsana ChakrabartiOwner · (708) 737-7136
Enumeration DateOctober 29, 2013
Last NPPES UpdateApril 6, 2017
NPI 1871921999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036119041
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15750 S BELL RD STE 2D, Homer Glen, IL 60491

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

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, IL
Active · expires Jul 27, 2027
CLIA Number14D2099448
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorSudarsana Chakrabarti
Laboratory Phone(630) 460-2136
Laboratory LocationSuburban Wellness Sc15750 S Bell Rd, 2D, Homer Glen, IL 60491
CLIA data matches this NPI record on: Name
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 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.