OLIVO WELLNESS MEDICAL CENTER
NPI 1295136794
Prosthetic/Orthotic Supplier in Chicago, IL
NPI Status: Active since September 16, 2014
Contact Information
2901 N CLYBOURN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 384-7977
Fax: (773) 451-8285
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 14D1078393
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-08-2028
About OLIVO WELLNESS MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Olivo Wellness Medical Center, a provider established in Chicago, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1295136794 assigned on September 2014. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Olivo Wellness Medical Center. The authorized official of this NPI record is Dr. Jacqueline Olivo M.d. (M.d.)
- NPI
- 1295136794
- Provider Legal Name
- VIRU SC
- Other Organization Name
- OLIVO WELLNESS MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2901 N CLYBOURN AVE CHICAGO, IL 60618
- Location Phone
- (773) 384-7977
- Location Fax
- (773) 451-8285
- Mailing Address
- 2901 N CLYBOURN AVE CHICAGO, IL 60618
- Mailing Phone
- (773) 384-7977
- Mailing Fax
- (773) 451-8285
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2014
- Last Update Date
- 01-25-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1078393
- Facility Type
- Physician Office
- Certificate Effective Date
- January 09, 2026
- Certificate Expiration Date
- January 08, 2028
- Laboratory Director
- JACQUELINE OLIVO M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Olivo Wellness Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295136794, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295136794, enumerated as an "organization" on September 16, 2014.
The provider is located at 2901 N CLYBOURN AVE CHICAGO, IL 60618 and the phone number is (773) 384-7977.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
