WELLNESS MEDICAL CENTER LLC
NPI 1609336627
Family Medicine in Niles, IL

Active since March 25, 2019CLIA 14D2211823 · Waiver
8937 W GOLF RD, NILES, IL 60714(248) 842-9353 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellness Medical Center Llc NPPES

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

WELLNESS MEDICAL CENTER LLC (NPI 1609336627) is a healthcare organization registered as a family medicine in Niles, Illinois and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Olena Gordon, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1609336627
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLNESS MEDICAL CENTER LLC
Location Address8937 W GOLF RDNiles, IL 60714-5812
Mailing Address8937 W Golf RdNiles, IL 60714-5812
Organization SubpartNo
Authorized OfficialOlena GordonOwner/ Physician · (847) 375-9711
Enumeration DateMarch 25, 2019
Last NPPES UpdateDecember 18, 2019
NPI 1609336627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
8937 W GOLF RD, Niles, IL 60714

Other Identifiers 2

Medicaid036131766IL
OtherF100554988IL · Medicare

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 14D2211823

Wellness Medical Center · Niles, IL
Active · expires Jan 31, 2027
CLIA Number14D2211823
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorOlena Gordon M D
Laboratory Phone(847) 375-9711
Laboratory LocationWellness Medical Center8937 W Golf Rd, Niles, IL 60714
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 4

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
8937 W GOLF RD
NILES, IL 60714
Family Medicine
8937 W GOLF RD
NILES, IL 60714
General Practice
8937 W GOLF RD
NILES, IL 60714
General Practice
8937 W GOLF RD
NILES, IL 60714

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 Wellness Medical Center LLC's NPI number?

The NPI number for Wellness Medical Center LLC is 1609336627. It was assigned to this organization in the NPPES registry on March 25, 2019.

Where is Wellness Medical Center LLC located?

Wellness Medical Center LLC is located at 8937 W Golf Rd, Niles, IL 60714. The listed phone number is (248) 842-9353.

What is Wellness Medical Center LLC's specialty?

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

Does Wellness Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2211823) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellness Medical Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Wellness Medical Center 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 Wellness Medical Center LLC was last updated on December 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.