Willowbrook Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036054825 Issued in IL

Legal business name

WILLOWBROOK CLINIC

Practice address

4121 Fairview Ave Ste L2
Downers Grove, IL 60515-2275

Phone

(630) 674-1160

Fax

(866) 261-3402

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ataullah Arain, MDNPI 1891873048

Title

Physician

Phone

(630) 674-1160

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ataullah Arain, MD

  • Family Medicine Physician
  • Downers Grove, IL
  • NPI 1891873048
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1740368927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE STE L2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152275",
            "telephone_number": "630-674-1160",
            "fax_number": "866-261-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE STE L2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152275",
            "telephone_number": "630-674-1160",
            "fax_number": "866-261-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "ARAIN",
        "authorized_official_first_name": "ATAULLAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-674-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036054825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054825",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "02201168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna MW Williams, OD
• Kirsten Camille Williams, LCSW
• Lisa D Williams, RDH
• Susan Willoughby, APN CNM
• Willow Tree Mental Wellness PLLC
• Annette Marie Wilson, M.A.
• Jonathan Paul Wilson, PHD, CCC-SLP
• Laura J Wilson, RDH
• Michael Wince, DDS
• Melissa L Wingo, PA-C

• Family Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.