Organization Active NPI

Willow Rheumatology and Wellness, PLLC

  • Rheumatology Physician
  • Willowbrook, IL
National Provider Identifier
1093544983
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
WILLOW RHEUMATOLOGY AND WELLNESS, PLLC
Doing business as
Willow Rheumatology and Wellness, PLLC
Practice address
535 Plainfield Rd Ste D
Willowbrook, IL 60527-7608
Phone
(434) 962-8466
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Angela Crowley, MDNPI 1205978475
Title
Owner
Phone
(630) 277-9018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

535 Plainfield Rd Ste D
Willowbrook, IL 60527-7608

Mailing address

535 Plainfield Rd Ste D
Willowbrook, IL 60527-7608
Phone (630) 277-9018

Other names 1

  • Willow Rheumatology and Wellness, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017001580 IL Part B Supplier - Clinic/Group Practice 7719419563 Receives reassigned benefits from 5 practitioners
Practice locations: Willowbrook, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2309012Willow Rheumatology & Wellness535 Plainfield Rd, Willowbrook, IL 60527Certificate of waiverAug 7, 2026

National Provider Directory

National Provider Directory

Locations

535 Plainfield Rd
Ste D
Willowbrook, IL 60527
Phone (630) 277-9018

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIFDD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1093544983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD STE D",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277608",
            "telephone_number": "630-277-9018",
            "fax_number": "866-531-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD STE D",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277608",
            "telephone_number": "434-962-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW RHEUMATOLOGY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-277-9018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Rheumatology and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Rheumatology and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.