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

Progressive Medical Center SC

Organization Family Medicine Physician · NPI 1629128319

Progressive Medical Center SC is a Family Medicine Physician in Addison, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4

Practice location Address checks out

414 W Lake St
Addison, IL 60101
Phone: (630) 458-1905
Fax: (630) 458-1908
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036087152 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036103673 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036107571 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036078267 (IL)

Record details

NPI number1629128319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriela Henriquez — Office Manager · (630) 238-9235
NPI enumeratedJanuary 12, 2007
Last updated in NPPESApril 7, 2011
Mailing address1841 W Army Trail Rd, Addison, IL 60101-1901

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