1. Home
  2. Directory
  3. Illinois
  4. Fox Lake
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAKES HEALTH AND WELLNESS LLC
NPI 1902621980
Nurse Practitioner - Family in Fox Lake, IL

Active since November 15, 2024CLIA 14D2334355 · Waiver
7227 STATE PARK RD, FOX LAKE, IL 60020(815) 363-2020(949) 703-8263 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Nov 15, 2024 (2 updates tracked since 2024).

About Lakes Health And Wellness Llc NPPES

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

LAKES HEALTH AND WELLNESS LLC (NPI 1902621980) is a healthcare organization registered as a family in Fox Lake, Illinois and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Ashley Rae Gallina, Fnp-c, Cnm, as its authorized official.

NPPES Registry Identity

NPI1902621980
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAKES HEALTH AND WELLNESS LLC
Location Address7227 STATE PARK RDFox Lake, IL 60020-1027
Mailing Address7227 State Park RdFox Lake, IL 60020-1027 · (815) 363-2020 · Fax (949) 703-8263
Phone(815) 363-2020
Fax(949) 703-8263
Organization SubpartNo
Authorized OfficialAshley Rae GallinaFnp-c, Cnm · (815) 363-2020
Enumeration DateNovember 15, 2024
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1902621980 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
7227 STATE PARK RD, Fox Lake, IL 60020
Open in Google Maps ↗

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 14D2334355

Lakes Health & Wellness LLC · Ingleside, IL
Active · expires Nov 18, 2027
CLIA Number14D2334355
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorAshley R. Gallina
Laboratory Phone(815) 363-2020
Laboratory LocationLakes Health & Wellness LLC214 Washington St - Ste 1, Ingleside, IL 60041
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ASHLEY RAE GALLINA APRN, CNM, FNP-C
Nurse Practitioner (Family)
7227 STATE PARK RD
FOX LAKE, IL 60020
Lake County (815) 363-2020

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 Lakes Health And Wellness LLC's NPI number?

The NPI number for Lakes Health And Wellness LLC is 1902621980. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Lakes Health And Wellness LLC located?

Lakes Health And Wellness LLC is located at 7227 State Park Rd, Fox Lake, IL 60020. The listed phone number is (815) 363-2020.

What is Lakes Health And Wellness LLC's specialty?

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

Does Lakes Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2334355) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakes Health And Wellness LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.