DYNAMIC MEDICAL WELLNESS LLC
NPI 1629895065
Nurse Practitioner - Family in Flossmoor, IL

Active since September 25, 2024
19710 GOVERNORS HWY STE 51161, FLOSSMOOR, IL 60422(630) 949-7369(630) 358-6914 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2025, Sep 25, 2024 (2 updates tracked since 2024).

  • Organization
  • Nurse Practitioner
  • Family

About DYNAMIC MEDICAL WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Dynamic Medical Wellness Llc, a provider established in Flossmoor, Illinois operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1629895065 assigned on September 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Danesha Howard Np (Ceo & Founder)

NPI
1629895065 Verify this NPI
Provider Name
DYNAMIC MEDICAL WELLNESS LLC
Entity Type
Organization
Location Address
19710 GOVERNORS HWY STE 51161 FLOSSMOOR, IL 60422
Location Phone
(630) 949-7369
Location Fax
(630) 358-6914
Mailing Address
19710 GOVERNORS HWY STE 51161 FLOSSMOOR, IL 60422
Mailing Phone
(630) 949-7369
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2024
Last Update Date
03-26-2025
Code Navigator

A nurse practitioner (NP) like Dynamic Medical Wellness Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 5373 W Alabama St Ste 204
    Houston, TX 77056
    (888) 803-3370
  • 1400 N Coit Rd Ste 302
    McKinney, TX 75071
    (888) 803-3370
  • 790 N Milwaukee St Ste 313
    Milwaukee, WI 53202
    (888) 803-3370
  • 17103 Oak Park Ave
    Tinley Park, IL 60477
    (630) 949-7369
  • 333 1st St Ste A
    San Francisco, CA 94105
    (888) 803-3370
  • 21660 W Field Pkwy
    Deer Park, IL 60010
    (888) 803-3370

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANESHA HOWARD NP

Authorized Official Title
CEO & FOUNDER
Authorized Official Phone
(630) 949-7369

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629895065, enumerated as an "organization" on September 25, 2024.

The provider is located at 19710 GOVERNORS HWY STE 51161 FLOSSMOOR, IL 60422 and the phone number is (630) 949-7369.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.