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

NPI Status: Active since December 18, 2014

Contact Information

6325 MAIN STREET
SUITE 120
WOODRIDGE, IL
ZIP 60517
Phone: (630) 541-6773

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  • Organization
  • General Practice
  • CLIA Number: 14D0989623
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-26-2026

About ADVANCED WELLNESS MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Advanced Wellness Medical, Llc, a primary care provider established in Woodridge, Illinois operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1831597194 assigned on December 2014. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Emmy Wang D.c. (Owner/d.c)

NPI
1831597194
Provider Name
ADVANCED WELLNESS MEDICAL, LLC
Entity Type
Organization
Location Address
6325 MAIN STREET SUITE 120 WOODRIDGE, IL 60517
Location Phone
(630) 541-6773
Mailing Address
604 HOBSON RD. NAPERVILLE, IL 60540
Mailing Phone
(630) 542-2598
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2014
Last Update Date
04-02-2015
Code Navigator

A primary care provider (PCP) like Advanced Wellness Medical, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
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

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. EMMY WANG D.C.

Authorized Official Title
OWNER/D.C
Authorized Official Phone
(630) 542-2598

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
14D0989623
Facility Type
Physician Office
Certificate Effective Date
January 27, 2024
Certificate Expiration Date
January 26, 2026
Laboratory Director
CHARLES MILLER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Advanced Wellness Medical, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1831597194, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 3 → 6 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 1 + 0 + 9 + 1 + 4 + 1 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1831597194.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831597194, enumerated as an "organization" on December 18, 2014.

The provider is located at 6325 MAIN STREET SUITE 120 WOODRIDGE, IL 60517 and the phone number is (630) 541-6773.

General Practice with taxonomy code 208D00000X.