DR 247 SC
NPI 1922669670
Family Medicine in Buffalo Grove, IL
About Dr 247 Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR 247 SC (NPI 1922669670) is a healthcare organization registered as a family medicine in Buffalo Grove, Illinois and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 1, 2027, maintains a secondary practice location in Buffalo Grove, and lists Larissa Granovski, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr 247 Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dr 247 Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 14D2226643
Dr 247 Sc · Buffalo Grove, 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 Dr 247 Sc's NPI number?
The NPI number for Dr 247 Sc is 1922669670. It was assigned to this organization in the NPPES registry on June 24, 2019.
Where is Dr 247 Sc located?
Dr 247 Sc is located at 975 Weiland Rd Suite 100, Buffalo Grove, IL 60089. The listed phone number is (847) 947-8444.
What is Dr 247 Sc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dr 247 Sc enrolled in Medicare?
Yes. Dr 247 Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr 247 Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dr 247 Sc, in Chiropractic, Family Practice, General Surgery and Plastic and Reconstructive Surgery. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dr 247 Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2226643) is associated with this NPI, valid through June 1, 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 Dr 247 Sc was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr 247 Sc · NPI 1922669670
Family Medicine organization in Buffalo Grove, Illinois. Organization record, active in the CMS NPPES registry since June 24, 2019.
## Identity
- **NPI:** 1922669670 (Entity type: Organization)
- **Enumerated:** June 24, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Larissa Granovski, MANAGER
## Practice location
- **Address:** 975 WEILAND RD, SUITE 100, Buffalo Grove, IL 60089-7053
- **Phone:** (847) 947-8444 · **Fax:** (847) 947-8435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Family Practice (1), General Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922669670) · Data from the CMS NPPES public registry.