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STARLIFE WELLNESS CLINIC LLC
NPI 1417713454
Family Medicine in Chicago Ridge, IL

Active since February 27, 2024CLIA 14D2312060 · Waiver
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415(773) 396-2894 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Starlife Wellness Clinic Llc NPPES

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

STARLIFE WELLNESS CLINIC LLC (NPI 1417713454) is a healthcare organization registered as a family medicine in Chicago Ridge, Illinois and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Mary Coleman, Biller, as its authorized official.

NPPES Registry Identity

NPI1417713454
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTARLIFE WELLNESS CLINIC LLC
Location Address9830 RIDGELAND AVEChicago Ridge, IL 60415-2667
Mailing Address9830 Ridgeland AveChicago Ridge, IL 60415-2667
Phone(773) 396-2894
Organization SubpartNo
Authorized OfficialMary ColemanBiller · (708) 769-9685
Enumeration DateFebruary 27, 2024
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1417713454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9830 RIDGELAND AVE, Chicago Ridge, IL 60415
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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

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 14D2312060

Starlife Wellness Clinic LLC · Chicago Ridge, IL
Active · expires Oct 2, 2026
CLIA Number14D2312060
Laboratory TypeHealth Main. Organization
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorNajwa Saleh
Laboratory Phone(708) 325-5700
Laboratory LocationStarlife Wellness Clinic LLC9980 S Ridgeland Ave, Chicago Ridge, IL 60415
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RIDGELAND FAMILY CHIROPRACTIC INC
Chiropractor
9830 RIDGELAND AVE
CHICAGO RIDGE, IL 60415
Cook County (708) 363-0901
DR. HANY YOUSSEF MOHAMED D.D.S.
Dentist
9830 RIDGELAND AVE
CHICAGO RIDGE, IL 60415
Cook County (708) 636-6424
HIGHPOINT MEDICAL IMAGING OF CHICAGO RIDGE, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
9830 RIDGELAND AVE, SUITE 4
CHICAGO RIDGE, IL 60415
Cook County (708) 423-1819
MICHAEL C. MORAN, M.D., S.C.
Orthopaedic Surgery
9830 RIDGELAND AVE
CHICAGO RIDGE, IL 60415
Cook County (708) 425-1744
CARDIO-MEDICINE SC
Internal Medicine (Cardiovascular Disease)
9830 RIDGELAND AVE, STE 5
CHICAGO RIDGE, IL 60415
Cook County (708) 422-8282
DR. KHALED A. KHORSHID D.C.
Chiropractor
9830 RIDGELAND AVE, CHICAG RIDGE MEDICAL CENTER - SUITE 5
CHICAGO RIDGE, IL 60415
Cook County (708) 288-2239
SMILES PAR EXCELLENCE PC
Clinic/Center (Dental)
9830 RIDGELAND AVE
CHICAGO RIDGE, IL 60415
Cook County (708) 636-6424
DOCTORS DIAGNOSTICS SERVICES INC
Radiology (Diagnostic Radiology)
9830 RIDGELAND AVE, STE 3C
CHICAGO RIDGE, IL 60415
Cook County (630) 827-2502

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 Starlife Wellness Clinic LLC's NPI number?

The NPI number for Starlife Wellness Clinic LLC is 1417713454. It was assigned to this organization in the NPPES registry on February 27, 2024.

Where is Starlife Wellness Clinic LLC located?

Starlife Wellness Clinic LLC is located at 9830 Ridgeland Ave, Chicago Ridge, IL 60415. The listed phone number is (773) 396-2894.

What is Starlife Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Starlife Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2312060) is associated with this NPI, valid through October 2, 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 Starlife Wellness Clinic LLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.