SPECIALTY PHYSICIANS OF ILLINOIS, LLC
NPI 1124075676
Internal Medicine in Greenwood, IN

Q: What is Specialty Physicians Of Illinois, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 30, 2006CLIA Certified · 2 labs

1040 SIERRA DR STE 400, GREENWOOD, IN 46143(317) 528-4291 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2023, Jan 31, 2023, Sep 20, 2021 and 1 more (4 updates tracked since 2019).

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About Specialty Physicians Of Illinois, Llc NPPES

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

SPECIALTY PHYSICIANS OF ILLINOIS, LLC (NPI 1124075676), doing business as Wellgroup Health Partners, Llc, is a healthcare organization registered as an internal medicine in Greenwood, Indiana and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Olympia Fields, and lists Donna Phalen, Director, as its authorized official.

NPPES Registry Identity

NPI1124075676

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSPECIALTY PHYSICIANS OF ILLINOIS, LLC

Location Address1040 SIERRA DR STE 400Greenwood, IN 46143-7241

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(317) 528-4291

Organization SubpartNo

Authorized OfficialDonna PhalenDirector · (219) 554-4548

Enumeration DateMay 30, 2006

Last NPPES UpdateFebruary 15, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1124075676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

1040 SIERRA DR STE 400, Greenwood, IN 46143

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Other Names 1

Former Legal Business NameWellgroup Health Partners, Llc

Secondary Practice Location 1

Location 13700 W 203rd St, Suite 200Olympia Fields, IL 60461-1180 · Phone (708) 679-2013 · Fax (708) 503-3295

Other Identifiers 1

Other203979IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 14D2094373

Specialty Physicians Of Illinois, L L C · Olympia Fields, IL

Active · expires Apr 14, 2027

CLIA Number14D2094373

Laboratory TypePhysician Office

Certificate Effective DateApril 15, 2025

Certificate Expiration DateApril 14, 2027

Laboratory DirectorRichard Ceragioli M D

Laboratory Phone(708) 679-2966

Laboratory LocationSpecialty Physicians Of Illinois, L L C3700 W 203rd St, Ste 201, Olympia Fields, IL 60461

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1088566

Specialty Physicians Of Illinois, L L C · Olympia Fields, IL

Active · expires Sep 21, 2026

CLIA Number14D1088566

Laboratory TypePhysician Office

Certificate Effective DateSeptember 22, 2024

Certificate Expiration DateSeptember 21, 2026

Laboratory DirectorMichael Settecase

Laboratory Phone(708) 679-2966

Laboratory LocationSpecialty Physicians Of Illinois, L L C3700 W 203rd St, Ste 301, Olympia Fields, IL 60461

CLIA data matches this NPI record on: Address Name

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.

WELL AMERICA IN INC

Psychologist (Clinical)

1040 SIERRA DR STE 400
GREENWOOD, IN 46143

Johnson County (732) 485-1301

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 Specialty Physicians Of Illinois, LLC's NPI number?

The NPI number for Specialty Physicians Of Illinois, LLC is 1124075676. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider was formerly known as Wellgroup Health Partners, LLC.

Where is Specialty Physicians Of Illinois, LLC located?

Specialty Physicians Of Illinois, LLC is located at 1040 Sierra Dr Ste 400, Greenwood, IN 46143. The listed phone number is (317) 528-4291.

What is Specialty Physicians Of Illinois, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Specialty Physicians Of Illinois, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Specialty Physicians Of Illinois, LLC was last updated on February 15, 2023. 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.