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BLOOMWELL FAMILY CLINIC PLLC
NPI 1316819360
Clinic/Center in Wonder Lake, IL

Active since September 19, 2025
8702 SEDGE MEADOW DR, WONDER LAKE, IL 60097(312) 399-1725 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloomwell Family Clinic Pllc NPPES

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

BLOOMWELL FAMILY CLINIC PLLC (NPI 1316819360) is a healthcare organization registered as a clinic/center in Wonder Lake, Illinois and active in the NPI registry since September 2025. The organization lists Deidra Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1316819360
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLOOMWELL FAMILY CLINIC PLLC
Location Address8702 SEDGE MEADOW DRWonder Lake, IL 60097-7604
Mailing Address8702 Sedge Meadow DrWonder Lake, IL 60097-7604
Phone(312) 399-1725
Organization SubpartNo
Authorized OfficialDeidra HallOwner · (312) 399-1725
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1316819360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8702 SEDGE MEADOW DR, Wonder Lake, IL 60097
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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 Bloomwell Family Clinic PLLC's NPI number?

The NPI number for Bloomwell Family Clinic PLLC is 1316819360. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Bloomwell Family Clinic PLLC located?

Bloomwell Family Clinic PLLC is located at 8702 Sedge Meadow Dr, Wonder Lake, IL 60097. The listed phone number is (312) 399-1725.

What is Bloomwell Family Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bloomwell Family Clinic PLLC was last updated on September 19, 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.