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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: August 09, 2026.

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

About Dynamic Medical Wellness Llc NPPES

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

DYNAMIC MEDICAL WELLNESS LLC (NPI 1629895065) is a healthcare organization registered as a family in Flossmoor, Illinois and active in the NPI registry since September 2024. The organization maintains 6 additional practice locations and lists Danesha Howard, Ceo & Founder, as its authorized official.

NPPES Registry Identity

NPI1629895065
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDYNAMIC MEDICAL WELLNESS LLC
Location Address19710 GOVERNORS HWY STE 51161Flossmoor, IL 60422-2080
Mailing Address19710 Governors Hwy Ste 51161Flossmoor, IL 60422-2080 · (630) 949-7369
Phone(630) 949-7369
Fax(630) 358-6914
Organization SubpartNo
Authorized OfficialDanesha HowardCeo & Founder · (630) 949-7369
Enumeration DateSeptember 25, 2024
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1629895065 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
19710 GOVERNORS HWY STE 51161, Flossmoor, IL 60422
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Secondary Practice Locations 6

Location 117103 Oak Park AveTinley Park, IL 60477-3405 · Phone (630) 949-7369 · Fax (630) 358-6914
Location 2333 1st St Ste ASan Francisco, CA 94105-2661 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 321660 W Field PkwyDeer Park, IL 60010-7265 · Phone (888) 803-3370
Location 45373 W Alabama St Ste 204Houston, TX 77056-5923 · Phone (888) 803-3370
Location 51400 N Coit Rd Ste 302McKinney, TX 75071-6656 · Phone (888) 803-3370
Location 6790 N Milwaukee St Ste 313Milwaukee, WI 53202-4148 · Phone (888) 803-3370

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

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 Dynamic Medical Wellness LLC's NPI number?

The NPI number for Dynamic Medical Wellness LLC is 1629895065. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Dynamic Medical Wellness LLC located?

Dynamic Medical Wellness LLC is located at 19710 Governors Hwy Ste 51161, Flossmoor, IL 60422. The listed phone number is (630) 949-7369.

What is Dynamic Medical Wellness LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dynamic Medical Wellness LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.