LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER
NPI 1659951481
Nurse Practitioner - Primary Care in Chicago, IL

Q: What is Loyola University Chicago Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 14, 2021CLIA 14D0961574 · Microscopy

6439 N SHERIDAN RD, CHICAGO, IL 60626(773) 508-2530 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Jun 7, 2024, Apr 14, 2021 (3 updates tracked since 2021).

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About Loyola University Chicago Wellness Center NPPES

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

LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER (NPI 1659951481) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since April 2021. The organization holds a CLIA Microscopy certificate valid through June 9, 2027 and lists Lanay Samuelson, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1659951481

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameLOYOLA UNIVERSITY CHICAGO WELLNESS CENTER

Location Address6439 N SHERIDAN RDChicago, IL 60626-5364

Mailing Address6439 N Sheridan RdChicago, IL 60626-5364

Phone(773) 508-2530

Organization SubpartNo

Authorized OfficialLanay SamuelsonAssociate Director · (312) 915-6374

Enumeration DateApril 14, 2021

Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1659951481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedPsychologist · SchoolTaxonomy 103TS0200X

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedHealth EducatorTaxonomy 174H00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

6439 N SHERIDAN RD, Chicago, IL 60626

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Other Names 1

Other NameLoyola University Of Chicago

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 14D0961574

Loyola University Wellness Center · Chicago, IL

Active · expires Jun 9, 2027

CLIA Number14D0961574

Laboratory TypeSchool/Student Health Service

Certificate Effective DateJune 10, 2025

Certificate Expiration DateJune 9, 2027

Laboratory DirectorJoan Holden Apn Anp-Bc

Laboratory Phone(773) 508-2535

Laboratory LocationLoyola University Wellness Center6439 North Sheridan Road, Chicago, IL 60626

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

LANAY L SAMUELSON ANP

Nurse Practitioner (Family)

6439 N SHERIDAN RD
CHICAGO, IL 60626

Cook County (773) 508-2530

KATHLEEN ANNE O'ROURKE DNP

Nurse Practitioner (Family)

6439 N SHERIDAN RD
CHICAGO, IL 60626

Cook County (773) 508-2530

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 Loyola University Chicago Wellness Center's NPI number?

The NPI number for Loyola University Chicago Wellness Center is 1659951481. It was assigned to this organization in the NPPES registry on April 14, 2021. The provider is also known as Loyola University of Chicago.

Where is Loyola University Chicago Wellness Center located?

Loyola University Chicago Wellness Center is located at 6439 N Sheridan Rd, Chicago, IL 60626. The listed phone number is (773) 508-2530.

What is Loyola University Chicago Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Loyola University Chicago Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0961574) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loyola University Chicago Wellness Center was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.