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OLIVO WELLNESS MEDICAL CENTER
NPI 1295136794
Prosthetic/Orthotic Supplier in Chicago, IL

Active since September 16, 2014CLIA 14D1078393 · Waiver
2901 N CLYBOURN AVE, CHICAGO, IL 60618(773) 384-7977(773) 451-8285 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olivo Wellness Medical Center NPPES

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

OLIVO WELLNESS MEDICAL CENTER (NPI 1295136794) is a healthcare organization registered as a prosthetic/orthotic supplier in Chicago, Illinois and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Jacqueline Olivo, M.d., as its authorized official.

NPPES Registry Identity

NPI1295136794
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVIRU SC
Location Address2901 N CLYBOURN AVEChicago, IL 60618-8101
Mailing Address2901 N Clybourn AveChicago, IL 60618-8101 · (773) 384-7977 · Fax (773) 451-8285
Phone(773) 384-7977
Fax(773) 451-8285
Organization SubpartNo
Authorized OfficialJacqueline OlivoM.d. · (773) 423-6178
Enumeration DateSeptember 16, 2014
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1295136794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
2901 N CLYBOURN AVE, Chicago, IL 60618
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Other Names 1

Doing Business AsOlivo Wellness Medical Center

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 14D1078393

Olivo Medical & Wellness Center · Chicago, IL
Active · expires Jan 8, 2028
CLIA Number14D1078393
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorJacqueline Olivo M D
Laboratory Phone(773) 423-6178
Laboratory LocationOlivo Medical & Wellness Center2901 N Clybourn Ave, Chicago, IL 60618
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NICOLE MARKOVICH MSN, FNP-BC
Nurse Practitioner (Family)
2901 N CLYBOURN AVE
CHICAGO, IL 60618
Cook County (773) 423-6178
DR. ELLA OSTROVSKAYA DPM
Podiatrist (Foot & Ankle Surgery)
2901 N CLYBOURN AVE
CHICAGO, IL 60618
Cook County (773) 423-6178

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 Viru Sc's NPI number?

The NPI number for Viru Sc is 1295136794. It was assigned to this organization in the NPPES registry on September 16, 2014. The provider is doing business as Olivo Wellness Medical Center.

Where is Viru Sc located?

Viru Sc is located at 2901 N Clybourn Ave, Chicago, IL 60618. The listed phone number is (773) 384-7977.

What is Viru Sc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Viru Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1078393) is associated with this NPI, valid through January 8, 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 Viru Sc was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.