1. Home
  2. Directory
  3. Illinois
  4. St Charles
  5. Obstetrics Gynecology
  6. NPI Profile

HEALING SPACE, LLC
NPI 1316495534
Obstetrics & Gynecology - Gynecology in St Charles, IL

Active since September 16, 2016CLIA 14D2086763 · Waiver
2075 FOXFIELD RD, SUITE 102, ST CHARLES, IL 60174(847) 304-5526(630) 549-0527 Get Directions Write a Review

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

About Healing Space, Llc NPPES

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

HEALING SPACE, LLC (NPI 1316495534) is a healthcare organization registered as a gynecology in St Charles, Illinois and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Marilyn Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1316495534
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameHEALING SPACE, LLC
Location Address2075 FOXFIELD RD, SUITE 102St Charles, IL 60174-1402
Mailing Address2075 Foxfield Rd, Suite 102St Charles, IL 60174-1402 · (847) 304-5526 · Fax (630) 549-0527
Phone(847) 304-5526
Fax(630) 549-0527
Organization SubpartNo
Authorized OfficialMarilyn MitchellOwner · (847) 304-5526
Enumeration DateSeptember 16, 2016
✔ NPI 1316495534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2075 FOXFIELD RD, St Charles, IL 60174
Open in Google Maps ↗

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 14D2086763

Healingspace LLC · Saint Charles, IL
Active · expires Nov 11, 2026
CLIA Number14D2086763
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMarilyn Mitchell MD
Laboratory Phone(847) 304-5526
Laboratory LocationHealingspace LLC2075 Foxfield Rd, Ste 102, Saint Charles, IL 60174
CLIA data matches this NPI record on: 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.

DR. MARILYN L. MITCHELL
Obstetrics & Gynecology (Gynecology)
2075 FOXFIELD RD, SUITE 102
ST CHARLES, IL 60174
Kane County (847) 304-5526

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 Healing Space, LLC's NPI number?

The NPI number for Healing Space, LLC is 1316495534. It was assigned to this organization in the NPPES registry on September 16, 2016.

Where is Healing Space, LLC located?

Healing Space, LLC is located at 2075 Foxfield Rd Suite 102, St Charles, IL 60174. The listed phone number is (847) 304-5526.

What is Healing Space, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Healing Space, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2086763) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Space, LLC was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.