BLESSINGS COMMUNITY CARE CLINIC LLC
NPI 1548042716
Nurse Practitioner - Family in Chicago, IL

Active since October 20, 2023CLIA 14D2305303 · Waiver
200 E 75TH ST STE 200, CHICAGO, IL 60619(872) 231-4100 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2026, May 1, 2024, Feb 6, 2024 and 1 more (4 updates tracked since 2023).

About Blessings Community Care Clinic Llc NPPES

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

BLESSINGS COMMUNITY CARE CLINIC LLC (NPI 1548042716) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 28, 2028, maintains a secondary practice location in Chicago, and lists Tanya Wagner, Director, as its authorized official.

NPPES Registry Identity

NPI1548042716
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLESSINGS COMMUNITY CARE CLINIC LLC
Location Address200 E 75TH ST STE 200Chicago, IL 60619-2280
Mailing Address200 E 75th St Ste 200Chicago, IL 60619-2280 · (872) 231-4100
Organization SubpartNo
Authorized OfficialTanya WagnerDirector · (872) 231-4100
Enumeration DateOctober 20, 2023
Last NPPES UpdateJanuary 10, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
NPI 1548042716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
200 E 75TH ST STE 200, Chicago, IL 60619

Secondary Practice Location 1

Location 18950 S Cottage Grove AveChicago, IL 60619-6932 · Phone (872) 231-4100

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

Accepted Insurance

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 14D2305303

Blessings Community Care Clinic LLC · Chicago, IL
Active · expires May 28, 2028
CLIA Number14D2305303
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorTanya Wagner
Laboratory Phone(872) 231-4100
Laboratory LocationBlessings Community Care Clinic LLC200 E 75th St - Ste 200, Chicago, IL 60619
CLIA data matches this NPI record on: Address Name 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.

Nurse Practitioner (Family)
200 E 75TH ST STE 200
CHICAGO, IL 60619

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 Blessings Community Care Clinic LLC's NPI number?

The NPI number for Blessings Community Care Clinic LLC is 1548042716. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Blessings Community Care Clinic LLC located?

Blessings Community Care Clinic LLC is located at 200 E 75th St Ste 200, Chicago, IL 60619. The listed phone number is (872) 231-4100.

What is Blessings Community Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Blessings Community Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2305303) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blessings Community Care Clinic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Blessings Community Care Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blessings Community Care Clinic LLC was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.