Organization Active NPI

Nexgen Biometrics Chicago

  • Clinical Medical Laboratory
  • Oak Lawn, IL
National Provider Identifier
1609737238
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXGEN BIOMETRICS CHICAGO
Practice address
10522 S Cicero Ave Ste 101
Oak Lawn, IL 60453-5290
Phone
(312) 877-9778
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Fallon WilliamsNPI 1033070651
Title
Lab Director
Phone
(312) 877-9778

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10522 S Cicero Ave Ste 101
Oak Lawn, IL 60453-5290

Mailing address

10522 S Cicero Ave Ste 101
Oak Lawn, IL 60453-5290
Phone (312) 877-9778

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
14D2314219Nexgen Biometrics Chicago10522 S Cicero Ave - Ste 101, Oak Lawn, IL 60453Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

10522 S Cicero Ave
Ste 101
Oak Lawn, IL 60453
Phone (312) 877-9778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1609737238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535290",
            "telephone_number": "312-877-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535290",
            "telephone_number": "312-877-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN BIOMETRICS CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FALLON",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "312-877-9778"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.