PURE MEDICAL GROUP LLC
NPI 1912621491
Clinic/Center - Adult Mental Health in Wood Dale, IL

Active since September 28, 2022
343 N WOOD DALE RD STE 201, WOOD DALE, IL 60191(773) 817-5928 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pure Medical Group Llc NPPES

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

PURE MEDICAL GROUP LLC (NPI 1912621491) is a healthcare organization registered as an adult mental health in Wood Dale, Illinois and active in the NPI registry since September 2022. The organization lists Wajahatuddin Macci, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912621491
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePURE MEDICAL GROUP LLC
Location Address343 N WOOD DALE RD STE 201Wood Dale, IL 60191-1565
Mailing Address343 N Wood Dale Rd Ste 201Wood Dale, IL 60191-1565 · (773) 817-5928
Organization SubpartNo
Authorized OfficialWajahatuddin MacciCfo · (773) 817-5928
Enumeration DateSeptember 28, 2022
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
NPI 1912621491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
343 N WOOD DALE RD STE 201, Wood Dale, IL 60191

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
343 N WOOD DALE RD STE 201
WOOD DALE, IL 60191

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 Pure Medical Group LLC's NPI number?

The NPI number for Pure Medical Group LLC is 1912621491. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Pure Medical Group LLC located?

Pure Medical Group LLC is located at 343 N Wood Dale Rd Ste 201, Wood Dale, IL 60191. The listed phone number is (773) 817-5928.

What is Pure Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Pure Medical Group LLC was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.