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FAMILY WELLNESS CLINIC LTD
NPI 1083763866
Family Medicine in Mount Prospect, IL

Active since January 09, 2007CLIA 14D1000664 · Waiver
410 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056(847) 632-1680(847) 632-1681 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2022, Sep 19, 2022 (2 updates tracked since 2022).

About Family Wellness Clinic Ltd NPPES

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

FAMILY WELLNESS CLINIC LTD (NPI 1083763866) is a healthcare organization registered as a family medicine in Mount Prospect, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Raymond Gomez, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1083763866
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY WELLNESS CLINIC LTD
Location Address410 E NORTHWEST HWYMount Prospect, IL 60056-3305
Mailing Address410 E Northwest HwyMount Prospect, IL 60056-3305 · (847) 632-1680 · Fax (847) 632-1681
Phone(847) 632-1680
Fax(847) 632-1681
Organization SubpartNo
Authorized OfficialRaymond GomezDirect Owner · (847) 632-1680
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1083763866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036101711
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 E NORTHWEST HWY, Mount Prospect, IL 60056
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Other Identifiers 1

Medicaid036101711IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 14D1000664

Family Wellness Clinic Ltd · Mount Prospect, IL
Active · expires Jun 18, 2028
CLIA Number14D1000664
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorRaymond Gomez M D
Laboratory Phone(847) 632-1680
Laboratory LocationFamily Wellness Clinic Ltd410 E Northwest Hwy, Mount Prospect, IL 60056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND GOMEZ M.D.
Family Medicine
410 E NORTHWEST HWY
MOUNT PROSPECT, IL 60056
Cook County (847) 632-1680

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 Family Wellness Clinic Ltd's NPI number?

The NPI number for Family Wellness Clinic Ltd is 1083763866. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Family Wellness Clinic Ltd located?

Family Wellness Clinic Ltd is located at 410 E Northwest Hwy, Mount Prospect, IL 60056. The listed phone number is (847) 632-1680.

What is Family Wellness Clinic Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Wellness Clinic Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1000664) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Wellness Clinic Ltd was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.