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

PUREWELL MEDICAL CLINIC LLC
NPI 1891640637
Family Medicine in Chicago, IL

Active since February 26, 2026
1912 W 103RD ST STE A, CHICAGO, IL 60643(773) 526-8121 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Purewell Medical Clinic Llc NPPES

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

PUREWELL MEDICAL CLINIC LLC (NPI 1891640637) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since February 2026. The organization lists Kolawole Kayode Oyewole, Owner, as its authorized official.

NPPES Registry Identity

NPI1891640637
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUREWELL MEDICAL CLINIC LLC
Location Address1912 W 103RD ST STE AChicago, IL 60643-2625
Mailing Address1912 W 103rd St Ste AChicago, IL 60643-2625 · (773) 250-7727
Phone(773) 526-8121
Organization SubpartNo
Authorized OfficialKolawole Kayode OyewoleOwner · (773) 526-8121
Enumeration DateFebruary 26, 2026
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1891640637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1912 W 103RD ST STE A, Chicago, IL 60643
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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

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 Purewell Medical Clinic LLC's NPI number?

The NPI number for Purewell Medical Clinic LLC is 1891640637. It was assigned to this organization in the NPPES registry on February 26, 2026.

Where is Purewell Medical Clinic LLC located?

Purewell Medical Clinic LLC is located at 1912 W 103rd St Ste A, Chicago, IL 60643. The listed phone number is (773) 526-8121.

What is Purewell Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Purewell Medical Clinic LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.