WILLOWBROOK CLINICS AND MEDICAL CENTER S.C.
NPI 1952187072
Family Medicine in Willowbrook, IL

Active since September 05, 2023CLIA 14D2289656 · Microscopy
6900 S MADISON ST STE 101, WILLOWBROOK, IL 60527(630) 986-1177 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willowbrook Clinics And Medical Center S.c. NPPES

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

WILLOWBROOK CLINICS AND MEDICAL CENTER S.C. (NPI 1952187072) is a healthcare organization registered as a family medicine in Willowbrook, Illinois and active in the NPI registry since September 2023. The organization holds a CLIA Microscopy certificate valid through October 25, 2027 and lists Katrina Smith, Cred Mgr, as its authorized official.

NPPES Registry Identity

NPI1952187072
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLOWBROOK CLINICS AND MEDICAL CENTER S.C.
Location Address6900 S MADISON ST STE 101Willowbrook, IL 60527-8433
Mailing Address6900 S Madison St Ste 101Willowbrook, IL 60527-8433 · (630) 986-1177
Organization SubpartNo
Authorized OfficialKatrina SmithCred Mgr · (855) 276-5212
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1952187072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6900 S MADISON ST STE 101, Willowbrook, IL 60527

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willowbrook Clinics And Medical Center S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willowbrook Clinics And Medical Center S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1184199143
6900 S MADISON ST STE 101
Willowbrook, IL 60527
(630) 986-1177
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871893859
6508 S HALSTED ST
Chicago, IL 60621
(773) 651-1225
✔ PECOS✔ Accepts Medicare15 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2289656

Willowbrook Clinics & Medical Center Sc · Willowbrook, IL
Active · expires Oct 25, 2027
CLIA Number14D2289656
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorAnuj Jain
Laboratory Phone(630) 986-1177
Laboratory LocationWillowbrook Clinics & Medical Center Sc6900 S Madison St - Ste 101, Willowbrook, IL 60527
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Willowbrook Clinics And Medical Center S.C.'s NPI number?

The NPI number for Willowbrook Clinics And Medical Center S.C. is 1952187072. It was assigned to this organization in the NPPES registry on September 5, 2023.

Where is Willowbrook Clinics And Medical Center S.C. located?

Willowbrook Clinics And Medical Center S.C. is located at 6900 S Madison St Ste 101, Willowbrook, IL 60527. The listed phone number is (630) 986-1177.

What is Willowbrook Clinics And Medical Center S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Willowbrook Clinics And Medical Center S.C. enrolled in Medicare?

Yes. Willowbrook Clinics And Medical Center S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willowbrook Clinics And Medical Center S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Willowbrook Clinics And Medical Center S.C., in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Willowbrook Clinics And Medical Center S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2289656) is associated with this NPI, valid through October 25, 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 Willowbrook Clinics And Medical Center S.C. was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.