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

NPI Status: Active since April 14, 2021

Contact Information

6439 N SHERIDAN RD
CHICAGO, IL
ZIP 60626
Phone: (773) 508-2530

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 14D0961574
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 06-09-2027

About LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Loyola University Chicago Wellness Center, a provider established in Chicago, Illinois operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1659951481 assigned on April 2021. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Loyola University Chicago Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Lanay Samuelson Aprn (Associate Director)

NPI
1659951481
Provider Legal Name
LOYOLA UNIVERSITY CHICAGO WELLNESS CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6439 N SHERIDAN RD CHICAGO, IL 60626
Location Phone
(773) 508-2530
Mailing Address
6439 N SHERIDAN RD CHICAGO, IL 60626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2021
Last Update Date
08-13-2025
Code Navigator

A nurse practitioner (NP) like Loyola University Chicago Wellness Center 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

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 Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

 
21041S0200XBehavioral Health & Social Service Providers

Social Worker
School

 
3133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
4163W00000XNursing Service Providers

Registered Nurse

 
5174H00000XOther Service Providers

Health Educator

 
6207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
7207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

 
82084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

LANAY SAMUELSON APRN

Authorized Official Title
ASSOCIATE DIRECTOR
Authorized Official Phone
(312) 915-6374

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0961574
Facility Type
School/Student Health Service
Certificate Effective Date
June 10, 2025
Certificate Expiration Date
June 09, 2027
Laboratory Director
JOAN HOLDEN APN ANP-BC
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Loyola University Chicago Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659951481, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 8 + 5 + 2 + 4 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1659951481.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
6439 N SHERIDAN RD
CHICAGO, IL 60626
Nurse Practitioner (Family)
6439 N SHERIDAN RD
CHICAGO, IL 60626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659951481, enumerated as an "organization" on April 14, 2021.

The provider is located at 6439 N SHERIDAN RD CHICAGO, IL 60626 and the phone number is (773) 508-2530.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.