Will County Community Health Center

A Medicare group practice based in Bolingbrook, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5395633317), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395633317The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
4
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040310000197 IL Part B Supplier - Clinic/Group Practice 1902811714
O20060915000561 IL Part A Provider - Federally Qualified Health Center (FQHC) 1902811714
O20170411001606 IL Part A Provider - Federally Qualified Health Center (FQHC) 1346772373
O20190516000915 IL Part A Provider - Federally Qualified Health Center (FQHC) 1053870204

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 33

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (19).

Sources for this page