CITADEL HEALTH & WELLNESS LIMITED PC
NPI 1740156751
Nurse Practitioner - Primary Care in Deer Park, IL
About Citadel Health & Wellness Limited Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITADEL HEALTH & WELLNESS LIMITED PC (NPI 1740156751) is a healthcare organization registered as a primary care in Deer Park, Illinois and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Claudyn Eguia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Citadel Health & Wellness Limited Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Citadel Health & Wellness Limited PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D2343095
Citadel Health And Wellness Limited PC · Deer Park, ILFrequently 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 Citadel Health & Wellness Limited PC's NPI number?
The NPI number for Citadel Health & Wellness Limited PC is 1740156751. It was assigned to this organization in the NPPES registry on October 15, 2025.
Where is Citadel Health & Wellness Limited PC located?
Citadel Health & Wellness Limited PC is located at 21660 W Field Pkwy, Deer Park, IL 60010. The listed phone number is (773) 456-6815.
What is Citadel Health & Wellness Limited PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Citadel Health & Wellness Limited PC enrolled in Medicare?
Yes. Citadel Health & Wellness Limited PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Citadel Health & Wellness Limited PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Citadel Health & Wellness Limited PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Citadel Health & Wellness Limited PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2343095) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Citadel Health & Wellness Limited PC was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Citadel Health & Wellness Limited Pc · NPI 1740156751
Primary Care organization in Deer Park, Illinois. Organization record, active in the CMS NPPES registry since October 15, 2025.
## Identity
- **NPI:** 1740156751 (Entity type: Organization)
- **Enumerated:** October 15, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Claudyn Eguia, OWNER
## Practice location
- **Address:** 21660 W FIELD PKWY, Deer Park, IL 60010-7265
- **Phone:** (773) 456-6815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740156751) · Data from the CMS NPPES public registry.