Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Medical SC

Organization Specialist · NPI 1366726283

Countryside Medical SC provides Specialist services in Countryside, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

6555 S Willow Springs Rd Suites 1 & 2
Countryside, IL 60525
Phone: (708) 482-9700
Fax: (708) 482-0217
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0 (IL)

Record details

NPI number1366726283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynnette McRoy — Billing Coordinator · (773) 767-3822
NPI enumeratedOctober 11, 2011
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 700, Wheaton, IL 60187-0700

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