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LIVE. LOVE. WELLNESS MD
NPI 1013536663
Clinic/Center - Multi-Specialty in Country Club Hills, IL

Active since April 14, 2020
18503 BELLAMY RD, COUNTRY CLUB HILLS, IL 60478(708) 365-8343 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Live. Love. Wellness Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE. LOVE. WELLNESS MD (NPI 1013536663) is a healthcare organization registered as a multi-specialty in Country Club Hills, Illinois and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Country Club Hills and lists Katrina Lake, Owner, as its authorized official.

NPPES Registry Identity

NPI1013536663
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKATRINA LAKE MD LLC
Location Address18503 BELLAMY RDCountry Club Hills, IL 60478-5279
Mailing Address18503 Bellamy RdCountry Club Hills, IL 60478-5279
Phone(708) 365-8343
Organization SubpartNo
Authorized OfficialKatrina LakeOwner · (708) 308-8974
Enumeration DateApril 14, 2020
Last NPPES UpdateMay 1, 2020
NPPES CertifiedMay 1, 2020
✔ NPI 1013536663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
18503 BELLAMY RD, Country Club Hills, IL 60478
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Other Names 1

Doing Business AsLive. Love. Wellness Md

Secondary Practice Location 1

Location 14053 183rd St Unit 2326Country Club Hills, IL 60478-3413 · Phone (708) 365-8343

Other Identifiers 1

Medicaid036141229IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Lake MD LLC's NPI number?

The NPI number for Katrina Lake MD LLC is 1013536663. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as Live. Love. Wellness MD.

Where is Katrina Lake MD LLC located?

Katrina Lake MD LLC is located at 18503 Bellamy Rd, Country Club Hills, IL 60478. The listed phone number is (708) 365-8343.

What is Katrina Lake MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Katrina Lake MD LLC was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.