WOODRIDGECLINIC S.C (NPI# 1356507834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356507834 |
| Entity Type | Organization |
| Organization Name | WOODRIDGECLINIC S.C |
| Other Organization Name | LILAC PARK MEDICAL CENTER |
| Practice Address |
805 S Main St Lombard IL 60148-3300 |
| Mailing Address |
7530 Woodward Ave Suite A Woodridge IL 60517-3100 |
| Practice Telephone | 6306206225 |
| Mailing Telephone | 6309101177 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | PARAGI U PATEL (BUSINESS MANAGER) |
| Authorized Official Telephone | 6303244677 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODRIDGECLINIC S.C |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
042-0060088 | IL | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
042-0060088 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 042-006088 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LILAC PARK MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
805 S MAIN ST |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992757934 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 805 S Main St, Ste 2, Lombard, IL 60148-3300 | 2006-05-17 |
| 1912264995 | Sara Mahan | Pharmacist | 805 S Main St, Lombard, IL 60148-3300 | 2012-04-16 |
| 1831481217 | Woodridge Clinic S.c | Family Medicine | 805 S Main St, Lombard, IL 60148-3300 | 2011-05-04 |
| 1740508639 | Lynda Lee Stout | Pharmacist | 805 S Main St, Lombard, IL 60148-3300 | 2010-05-17 |
| 1396977047 | Sharon E Switzer | Pharmacist | 805 S Main St, Lombard, IL 60148-3300 | 2009-08-13 |
| 1013076447 | Craig George Kueltzo | Pharmacist | 805 S Main St, Lombard, IL 60148-3300 | 2006-12-08 |
| 1528006962 | Richard Bicbic | Audiologist-Hearing Aid Fitter | 805 S Main St, Ste 2, Lombard, IL 60148-3300 | 2006-06-04 |
| 1962455790 | Hemlata S. Limaye | Pediatrics | 805 S Main St, Lombard, IL 60148-3300 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1285068957 | We Care Physicians Inc | General Practice | 510 W Madison St, Lombard, IL 60148-3253 | 2013-08-29 |
| 1003136961 | Stephen Cheukwan Lau | General Practice | 18 E. 22nd St., Lombard, IL 60148 | 2010-06-02 |
| 1487769196 | Center for Integral Health, LLC | General Practice | 400 E 22nd St, Lombard, IL 60148-6104 | 2006-08-20 |
| 1720353394 | Integrated Health Care Providers LLC | General Practice | 18w511 Roosevelt Rd, Lombard, IL 60148-4184 | 2012-03-15 |
| 1689755795 | Joel Robert Shepperd | General Practice | 400 E 22nd St, Suite F, Lombard, IL 60148-6104 | 2006-10-17 |
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|---|---|---|---|---|
| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
| 1154946903 | Wound Pros Illinois | General Practice | 5250 Old Orchard Rd., Suite 300, Skokie, IL 60077-4462 | 2020-06-08 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| 1982189395 | Saint Louis Home Health Care Inc | General Practice | 739 E Independence Dr, Palatine, IL 60074-1959 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.