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CROCKETT WELLNESS CLINIC LLC
NPI 1487300935
Clinic/Center in Naperville, IL

Active since February 23, 2022
2829 STONEWATER DR, NAPERVILLE, IL 60564(630) 454-1143 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crockett Wellness Clinic Llc NPPES

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

CROCKETT WELLNESS CLINIC LLC (NPI 1487300935) is a healthcare organization registered as a clinic/center in Naperville, Illinois and active in the NPI registry since February 2022. The organization lists Andre D Crockett, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1487300935
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCROCKETT WELLNESS CLINIC LLC
Location Address2829 STONEWATER DRNaperville, IL 60564
Mailing Address3075 Book Rd Unit 9155Naperville, IL 60567-1422 · (630) 454-1143
Phone(630) 454-1143
Organization SubpartNo
Authorized OfficialAndre D CrockettManaging Director · (331) 888-6505
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 5, 2022
✔ NPI 1487300935 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).
2829 STONEWATER DR, Naperville, IL 60564
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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 Crockett Wellness Clinic LLC's NPI number?

The NPI number for Crockett Wellness Clinic LLC is 1487300935. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is Crockett Wellness Clinic LLC located?

Crockett Wellness Clinic LLC is located at 2829 Stonewater Dr, Naperville, IL 60564. The listed phone number is (630) 454-1143.

What is Crockett Wellness Clinic LLC'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 Crockett Wellness Clinic LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.