Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IMMUNOCARE CONSULTING LLC
NPI 1811866452
Nurse Practitioner - Family in Chicago, IL

Active since November 03, 2025CLIA 14D2341768 · Waiver
980 N MICHIGAN AVE STE 438825, CHICAGO, IL 60611(815) 457-7889(815) 846-8674 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Jul 27, 2026, Apr 21, 2026 and 4 more (7 updates tracked since 2025).

About Immunocare Consulting Llc NPPES

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

IMMUNOCARE CONSULTING LLC (NPI 1811866452) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Martel Shantaze Warden, Owner, as its authorized official.

NPPES Registry Identity

NPI1811866452
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMMUNOCARE CONSULTING LLC
Location Address980 N MICHIGAN AVE STE 438825Chicago, IL 60611-4501
Mailing Address7600 Violet LnJoliet, IL 60431-7891 · (815) 457-7889 · Fax (844) 749-3652
Fax(815) 846-8674
Organization SubpartNo
Authorized OfficialMartel Shantaze WardenOwner · (815) 457-7889
Enumeration DateNovember 3, 2025
Last NPPES UpdateAugust 4, 20267 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1811866452 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
980 N MICHIGAN AVE STE 438825, Chicago, IL 60611

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

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 14D2341768

Immunocare Consulting, P L L C · Chicago, IL
Active · expires Apr 7, 2028
CLIA Number14D2341768
Laboratory TypePractitioner Other
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorMartel S. Warden
Laboratory Phone(815) 457-7889
Laboratory LocationImmunocare Consulting, P L L C980 N Michigan Ave - Ste 1090 - #438825, Chicago, IL 60611
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Immunocare Consulting LLC's NPI number?

The NPI number for Immunocare Consulting LLC is 1811866452. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Immunocare Consulting LLC located?

Immunocare Consulting LLC is located at 980 N Michigan Ave Ste 438825, Chicago, IL 60611. The listed phone number is (815) 457-7889.

What is Immunocare Consulting LLC's specialty?

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

Does Immunocare Consulting LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2341768) is associated with this NPI, valid through April 7, 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 Immunocare Consulting LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.