VODICKA FAMILY HEALTH & WELLNESS LLC
NPI 1912652645
Clinic/Center - Health Service in Lemont, IL
About Vodicka Family Health & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VODICKA FAMILY HEALTH & WELLNESS LLC (NPI 1912652645) is a healthcare organization registered as a health service in Lemont, Illinois and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Jessica Vodicka, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 14D2270353
Vodicka Family Health & Wellness · Lemont, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vodicka Family Health & Wellness LLC's NPI number?
The NPI number for Vodicka Family Health & Wellness LLC is 1912652645. It was assigned to this organization in the NPPES registry on February 22, 2022.
Where is Vodicka Family Health & Wellness LLC located?
Vodicka Family Health & Wellness LLC is located at 13045 Ravine Dr, Lemont, IL 60439. The listed phone number is (847) 703-0262.
What is Vodicka Family Health & Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Vodicka Family Health & Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2270353) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vodicka Family Health & Wellness LLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vodicka Family Health & Wellness Llc · NPI 1912652645
Health Service organization in Lemont, Illinois. Organization record, active in the CMS NPPES registry since February 22, 2022.
## Identity
- **NPI:** 1912652645 (Entity type: Organization)
- **Enumerated:** February 22, 2022
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** VODICKA FAMILY HEALTH & WELLNESS LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jessica Vodicka, NURSE PRACTITIONER
## Practice location
- **Address:** 13045 RAVINE DR, Lemont, IL 60439-7331
- **Phone:** (847) 703-0262
## Record status
- **NPPES last updated:** February 22, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912652645) · Data from the CMS NPPES public registry.