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CITADEL HEALTH & WELLNESS LIMITED PC
NPI 1740156751
Nurse Practitioner - Primary Care in Deer Park, IL

Active since October 15, 2025CLIA 14D2343095 · Waiver
21660 W FIELD PKWY, DEER PARK, IL 60010(773) 456-6815 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1740156751
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCITADEL HEALTH & WELLNESS LIMITED PC
Location Address21660 W FIELD PKWYDeer Park, IL 60010-7265
Mailing Address21660 W Field PkwyDeer Park, IL 60010-7265 · (773) 456-6815
Phone(773) 456-6815
Organization SubpartNo
Authorized OfficialClaudyn EguiaOwner · (773) 456-6815
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1740156751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
21660 W FIELD PKWY, Deer Park, IL 60010
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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 of Waiver 14D2343095

Citadel Health And Wellness Limited PC · Deer Park, IL
Active · expires Apr 30, 2028
CLIA Number14D2343095
Laboratory TypePractitioner Other
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorClaudyn A. Eguia
Laboratory Phone(847) 301-4110
Laboratory LocationCitadel Health And Wellness Limited PC21660 W Field Parkway - Suite 218, Deer Park, IL 60010
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

TYLER HUANG
Student in an Organized Health Care Education/Training Program
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 692-9234
DR. MARTIN J ZIDRON D.D.S.
Dentist (Oral and Maxillofacial Pathology)
21660 W FIELD PKWY, SUITE 220
DEER PARK, IL 60010
Cook County (847) 381-0106
IRINA FRENKEL MSN, FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 338-0339
MRS. DOMINNO CAROLINE FOGLE M.M.S., PA-C
Physician Assistant (Medical)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370
DANESHA HOWARD FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (630) 949-7369
SERAPHIC FAMILY CARE AND WELLNESS LLC
Clinic/Center (Primary Care)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 900-8796
DR. JOHN TRAVIS THOMPSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
21660 W FIELD PKWY, SUITE 220
DEER PARK, IL 60010
Cook County (847) 381-0106
NIKKI BORAH TANG PA-C
Physician Assistant
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370

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 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.

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 9 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.