Willowbrook Clinics and Medical Center S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILLOWBROOK CLINICS AND MEDICAL CENTER S.C.

Practice address

6900 S Madison St Ste 101
Willowbrook, IL 60527-8433

Phone

(630) 986-1177

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Smith

Title

Cred MGR

Phone

(855) 276-5212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Anuj Jain, M.D

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1871893859
  Medicare reassignment Care Compare group NPD
• Mejo Vayalil

  • Family Nurse Practitioner
  • Willowbrook, IL
  • NPI 1184199143
  Medicare reassignment Care Compare group NPD
• Josephine Bostic, NP

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1417450867
  NPD (past)
• April M Fitts-Cowley, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1831617364

  Multi-Specialty

  NPD (past)
• Lashaunda Jones-Green, APRN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1538775846
  NPD (past)
• Thomas E Vandyke, PA-C

  • Medical Physician Assistant
  • Chicago, IL
  • NPI 1083871115
  NPD (past)
• Maria Rowena R Zambas, NP

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1689407595

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1952187072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 S MADISON ST STE 101",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278433",
            "telephone_number": "630-986-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S MADISON ST STE 101",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278433",
            "telephone_number": "630-986-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK CLINICS AND MEDICAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CRED MGR",
        "authorized_official_telephone_number": "855-276-5212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C Walters DDS LTD
• Dawn Williams
• Emma L Williams, LCPC
• Willow Rheumatology and Wellness, PLLC
• Willowbrook Behavior Health LLC
• Willowbrook Dentistry for Children, LLC
• Willowbrook Family Practice LTD
• Willowbrook Medical Center LTD.
• Willowbrook Podiatry Inc
• Jennifer A Wilson, PT

• Family Medicine Physician in Willowbrook, IL
• Providers in Willowbrook, 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 Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.