MEDICARE: FOSTER HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QU0200X	Urgent Care Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1770463713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSTER HEALTH PLLC

Provider Business Mailing Address
First Line	:	PO BOX 552
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-0552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 PLAINFIELD RD
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-1705
Country	:	US
Telephone Number	:	630-541-6679
Fax Number	:	630-812-1051

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL ELBERTS
Credential	:
Telephone Number	:	331-251-4805

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	03/05/2026

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Directions to “FOSTER HEALTH PLLC ” Practice Location

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