PENTUS HEALTH WYLIE LLC
NPI 1043012313
Clinic/Center - Primary Care in Normal, IL
About Pentus Health Wylie Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENTUS HEALTH WYLIE LLC (NPI 1043012313) is a healthcare organization registered as a primary care in Normal, Illinois and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Ivan Reyes, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2326570
Pentus Health Wylie LLC · Normal, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pentus Health Wylie LLC's NPI number?
The NPI number for Pentus Health Wylie LLC is 1043012313. It was assigned to this organization in the NPPES registry on March 26, 2025.
Where is Pentus Health Wylie LLC located?
Pentus Health Wylie LLC is located at 448 Wylie Dr, Normal, IL 61761. The listed phone number is (844) 973-6887.
What is Pentus Health Wylie LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Pentus Health Wylie LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2326570) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pentus Health Wylie LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Pentus Health Wylie Llc · NPI 1043012313
Primary Care organization in Normal, Illinois. Organization record, active in the CMS NPPES registry since March 26, 2025.
## Identity
- **NPI:** 1043012313 (Entity type: Organization)
- **Enumerated:** March 26, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ivan Reyes, ADMINISTRATOR
## Practice location
- **Address:** 448 WYLIE DR, Normal, IL 61761-5405
- **Phone:** (844) 973-6887
## Record status
- **NPPES last updated:** March 26, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043012313) · Data from the CMS NPPES public registry.