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MOSAIC WHOLENESS CENTER LLC
NPI 1245110782
Counselor - Professional in Rolling Meadows, IL

Active since September 04, 2025
4200 EUCLID AVE STE 104, ROLLING MEADOWS, IL 60008(847) 917-9974 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mosaic Wholeness Center Llc NPPES

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

MOSAIC WHOLENESS CENTER LLC (NPI 1245110782) is a healthcare organization registered as a professional in Rolling Meadows, Illinois and active in the NPI registry since September 2025. The organization lists Luis San Roman, Owner Of Practice, as its authorized official.

NPPES Registry Identity

NPI1245110782
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMOSAIC WHOLENESS CENTER LLC
Location Address4200 EUCLID AVE STE 104Rolling Meadows, IL 60008-2083
Mailing Address4200 Euclid Ave Ste 104Rolling Meadows, IL 60008-2083 · (847) 917-9974
Phone(847) 917-9974
Organization SubpartNo
Authorized OfficialLuis San RomanOwner Of Practice · (512) 368-6408
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1245110782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4200 EUCLID AVE STE 104, Rolling Meadows, IL 60008
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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

Other Providers at the Same Location NPPES 4

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

BONNIE MIJA KIM LCPC
Counselor
4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008
Cook County (847) 917-9974
JESSICA MARIE RENTERIA
Counselor (Professional)
4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008
Cook County (773) 850-4162
JESUS RIVERA III
Counselor (Mental Health)
4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008
Cook County (847) 925-7327
WESLEY WEITSEN LIOU
Counselor (Mental Health)
4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008
Cook County (847) 917-9974

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 Mosaic Wholeness Center LLC's NPI number?

The NPI number for Mosaic Wholeness Center LLC is 1245110782. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Mosaic Wholeness Center LLC located?

Mosaic Wholeness Center LLC is located at 4200 Euclid Ave Ste 104, Rolling Meadows, IL 60008. The listed phone number is (847) 917-9974.

What is Mosaic Wholeness Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mosaic Wholeness Center LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.