ADVANCED WELLNESS MEDICAL, LLC
NPI 1831597194
General Practice in Woodridge, IL

Active since December 18, 2014
6325 MAIN STREET, SUITE 120, WOODRIDGE, IL 60517(630) 541-6773 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Wellness Medical, Llc NPPES

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

ADVANCED WELLNESS MEDICAL, LLC (NPI 1831597194) is a healthcare organization registered as a general practice in Woodridge, Illinois and active in the NPI registry since December 2014. The organization lists Emmy Wang, Owner/d.c, as its authorized official.

NPPES Registry Identity

NPI1831597194
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED WELLNESS MEDICAL, LLC
Location Address6325 MAIN STREET, SUITE 120Woodridge, IL 60517
Mailing Address604 Hobson Rd.Naperville, IL 60540 · (630) 542-2598
Organization SubpartNo
Authorized OfficialEmmy WangOwner/d.c · (630) 542-2598
Enumeration DateDecember 18, 2014
Last NPPES UpdateApril 2, 2015
✔ NPI 1831597194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6325 MAIN STREET, Woodridge, IL 60517

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Wellness Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20170927003093DME · Medical Supply CompanyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Wellness Medical, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1841335056
520 E BOUGHTON RD
Bolingbrook, IL 60440
(630) 783-2438
4.4 mi
Osteopathic Manipulative Medicine
NPI 1386917268
1041 ROYAL SAINT GEORGE DR
Naperville, IL 60563
(773) 791-2478
✔ PECOS✔ Accepts Medicare5.2 mi
Chiropractic
NPI 1922246974
2456 FAWN LAKE CIR
Naperville, IL 60564
(630) 542-2598
8.5 mi
Physical Medicine and Rehabilitation
NPI 1487720579
850 BROOKFOREST AVE.
Shorewood, IL 60404
(815) 725-4918
✔ PECOS19 mi
Nurse Practitioner
NPI 1336684547
1555 BARRINGTON RD DOCTORS BUILDING 1 SUITE 410
Hoffman Estates, IL 60169
(847) 781-1894
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Wellness Medical, LLC's NPI number?

The NPI number for Advanced Wellness Medical, LLC is 1831597194. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is Advanced Wellness Medical, LLC located?

Advanced Wellness Medical, LLC is located at 6325 Main Street Suite 120, Woodridge, IL 60517. The listed phone number is (630) 541-6773.

What is Advanced Wellness Medical, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Advanced Wellness Medical, LLC enrolled in Medicare?

Yes. Advanced Wellness Medical, LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Wellness Medical, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Medical Supply Company) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Wellness Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Advanced Wellness Medical, LLC, in Chiropractic, Nurse Practitioner, Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Wellness Medical, LLC was last updated on April 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.