Organization Active NPI

Central Dupage Hospital Association

Doing business as HealthLab, Part of Northwestern Medicine

  • Clinical Medical Laboratory
  • Winfield, IL
National Provider Identifier
1851908842
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRAL DUPAGE HOSPITAL ASSOCIATION
Doing business as
HealthLab, Part of Northwestern Medicine
Practice address
25 N. Winfield Road
Winfield, IL 60190
Phone
(630) 933-2633
Fax
(630) 933-2628
NPI assigned
Sep 24, 2020
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL DUPAGE HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Mr. Sylvester Anthony Dazzo
Title
VP, Operation- Laboratory Administr
Phone
(630) 933-2093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

25 N. Winfield Road
Winfield, IL 60190

Mailing address

25 N. Winfield Road
Winfield, IL 60190
Phone (630) 933-2633

Other names 1

  • HealthLab, Part of Northwestern Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medicaldocumentation-esmd/cms-health-information-handler Other CMS HIH

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
14D0042701Northwestern Medicine Central Du Page Hospital25 North Winfield Rd, Dept of Pathology, Winfield, IL 60190AccreditationFeb 27, 2027
14D0888125Central Dupage Hospital EMS System25 N Winfield Rd, Winfield, IL 60190Certificate of waiverJun 22, 2028
14D2129022Central Dupage Hospital Employee Health25 N Winfield Rd, Winfield, IL 60190Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Du Page Hospital12 organizations share this tax ID, including this one
Part of
Central Du Page Hospital

Other organizations with this tax ID 11

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

Locations

1979 Spruce Hills Dr
Bettendorf, IA 52722

235 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 893-9600

355 W Dundee Rd
Ste 110B
Buffalo Grove, IL 60089

233 E Erie St
Ste 209
Chicago, IL 60611

360 Station Dr
Ste 150
Crystal Lake, IL 60014

2172 Blackberry Dr
Ste 108
Geneva, IL 60134

885 Roosevelt Rd
Ste 101
Glen Ellyn, IL 60137
Phone (630) 315-6151

534 W Chestnut St
Ste 230
Hinsdale, IL 60521

21202 Owens Rd
Ste 110
Mokena, IL 60448

1001 Commerce Dr
Ste 100
Oak Brook, IL 60523

15300 West Ave
Ste 107
Orland Park, IL 60462

7177 Crimson Ridge Dr
Ste 8
Rockford, IL 61107

2111 Midlands Ct
Ste 202
Sycamore, IL 60178
Phone (630) 222-5574

755 W Carmel Dr
Ste 217
Carmel, IN 46032

401 Wall St
Unit I
Valparaiso, IN 46383

8629 Mexico Rd
O Fallon, MO 63366

1034 S Brentwood Blvd
Ste 630
Saint Louis, MO 63117

1074 Old des Peres Rd
Saint Louis, MO 63131

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1851908842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N. WINFIELD ROAD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-933-2633",
            "fax_number": "630-933-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N. WINFIELD ROAD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-933-2633",
            "fax_number": "630-933-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL DUPAGE HOSPITAL ASSOCIATION",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "DAZZO",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VP, OPERATION- LABORATORY ADMINISTR",
        "authorized_official_telephone_number": "630-933-2093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medicaldocumentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HealthLab, Part of Northwestern Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthLab, Part of Northwestern Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.