WILLOWBROOK MEDICAL CENTER LTD. (NPI# 1023231289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023231289 |
| Entity Type | Organization |
| Organization Name | WILLOWBROOK MEDICAL CENTER LTD. |
| Practice Address |
535 Plainfield Road Suite C Willowbrook IL 60527 |
| Practice Telephone | 6309867501 |
| Practice Fax Number | 6309867505 |
| Mailing Telephone | 6309867501 |
| Mailing Fax Number | 6309867505 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | MR. ANTHONY L. BILOTTA (PRESIDENT) |
| Authorized Official Telephone | 6309867501 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 036078620 | IL | Other Service Providers |
| N | 202C00000X | Independent Medical Examiner | 036078620 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036078620 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036078620 | IL | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
036078620 | IL | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
036078620 | IL | Allopathic & Osteopathic Physicians |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
036078620 | IL | Ambulatory Health Care Facilities |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
036078620 | IL | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | 036073808 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
535 PLAINFIELD ROAD SUITE C |
| City | WILLOWBROOK |
| State | IL |
| Zip Code | 60527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396174124 | Physicians At Your Door Incorporation | Family Medicine | 621 Plainfield Rd Ste 205, Willowbrook, IL 60527-5326 | 2013-11-02 |
| 1568667376 | Ganesh Medical Sc | Family Medicine | 214 Chaucer Ct, Willowbrook, IL 60527-5407 | 2007-06-20 |
| 1437225729 | Kiran P Joshi | Family Medicine | 6545 Chaucer Rd, Willowbrook, IL 60527-5474 | 2006-11-28 |
| 1457423626 | Ngozi Okechukwu U Okolo | Family Medicine | 836 Turnberry Ln, Willowbrook, IL 60527-5390 | 2006-11-14 |
| 1538257886 | Ellis J Talbert | Family Medicine | 7000 S Adams St, Suite 240, Willowbrook, IL 60527-8453 | 2006-10-11 |
| 1407872500 | Anthony Louis Bilotta | Family Medicine | 535 Plainfield Rd, Suite C, Willowbrook, IL 60527-7607 | 2006-07-14 |
| 1093782146 | Iram Shaikh-abbasi | Family Medicine | 6900 S Madison St Ste 101, Willowbrook, IL 60527-8433 | 2006-03-07 |
| 1114291358 | Dr May-chang Kuo Mdsc | Family Medicine | 74 63rd St, Willowbrook, IL 60527-2982 | 2012-03-06 |
| 1588892509 | Qamer Syeda | Family Medicine | 6733 Kingery Hwy, Willowbrook, IL 60527-5142 | 2009-06-29 |
| 1114107976 | Ellis J Talbert, Md Sc | Family Medicine | 7000 S Adams St, Suite 240, Willowbrook, IL 60527-8453 | 2007-11-09 |
| Find all providers in WILLOWBROOK | ||||
| City | WILLOWBROOK |
| Zip Code | 60527 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.