NPIMap

Organization Active NPI

Will County Community Health Center

Doing business as Will County Community Health Center North

  • Federally Qualified Health Center (FQHC)
  • Bolingbrook, IL
National Provider Identifier
1346772373
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WILL COUNTY COMMUNITY HEALTH CENTER
Doing business as
Will County Community Health Center North
Practice address
391 Quadrangle Dr
Bolingbrook, IL 60440-3442
Phone
(630) 679-7000
NPI assigned
Mar 29, 2017
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WILL COUNTY COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Elizabeth Bilotta
Title
Executive Director
Phone
(815) 740-8982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

391 Quadrangle Dr
Bolingbrook, IL 60440-3442

Mailing address

391 Quadrangle Dr
Bolingbrook, IL 60440-3442

Other names 1

  • Will County Community Health Center North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000197 IL Part B Supplier - Clinic/Group Practice 5395633317 Receives reassigned benefits from 32 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bolingbrook, IL; Joliet, IL; Monee, IL
O20170411001606 IL Part A Provider - Federally Qualified Health Center (FQHC) 5395633317 Practice locations: Bolingbrook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346772373. Details of each certification follow.

Federally qualified health center certification: CCN 781872

Legal name
WILL COUNTY COMMUNITY HEALTH CENTER
Doing business as
WILL COUNTY COMMUNITY HEALTH CENTER NORTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 11, 2017
Last certification
Apr 11, 2017
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jun 24, 1994 in IL
Enrollment address
391 Quadrangle Dr
Bolingbrook, IL 60440

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Will Co Comm Health Ctr5 organizations share this tax ID, including this one
Part of
Will Co Comm Health Ctr

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

391 Quadrangle Dr
Bolingbrook, IL 60440
Phone (630) 548-2520

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Bilotta Individual W-2 Managing EmployeeExecutive Director Feb 4, 2023
Denise Bergin Individual W-2 Managing EmployeeAssistant Executive Director Dec 1, 2018
County of Will Organization, Joliet, IL 5% Or Greater Direct Ownership Interest Mar 10, 2017 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Will County Community Health Center EastMonee, IL, CCN 781925 Federally qualified health center Operational/Managerial Control (100%) May 6, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1346772373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 QUADRANGLE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 QUADRANGLE DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-679-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL COUNTY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILL COUNTY COMMUNITY HEALTH CENTER",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "BILOTTA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-740-8982"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Will County Community Health Center North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.