Individual provider Active NPI

Lauren Williams, PA

  • Physician Assistant
  • Burr Ridge, IL
National Provider Identifier
1295376481
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007311 Issued in IL
Practice address
16W300 83Rd St
Burr Ridge, IL 60527-5892
Phone
(630) 349-5599
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007311 IL Primary

Addresses

Primary practice location

16W300 83Rd St
Burr Ridge, IL 60527-5892

Mailing address

739 Rogers St
Downers Grove, IL 60515-3769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102000732 IL Practitioner - Physician Assistant 2961836788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana Medical College, School of Medicine of Purdue University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3149
Phone (630) 665-6200

2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085007311ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc CurrentSince Nov 20, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 26, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 26, 2024 Accepting new patients
MD @ Home Illinois, SC CurrentSince Feb 16, 2026 Accepting new patients
Friend Family Health Center Inc CurrentSince Nov 20, 2019 Accepting new patients
Conventions Psychiatry & Counseling, P.C. Past Accepting new patients

Locations

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

1964 Springbrook Square Dr
Ste 108B
Naperville, IL 60564
Phone (630) 348-3840

3011 Butterfield Rd
Ste 240
Oak Brook, IL 60523
Phone (630) 348-3840

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1295376481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 ROGERS ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W300 83RD ST",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275892",
            "telephone_number": "630-349-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.