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BRIDGEWELL LLC
NPI 1972296382
Nurse Practitioner - Primary Care in Bolingbrook, IL

Active since May 31, 2023
402 W BOUGHTON RD STE A, BOLINGBROOK, IL 60440(312) 451-6148 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, May 31, 2023 (2 updates tracked since 2023).

About Bridgewell Llc NPPES

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

BRIDGEWELL LLC (NPI 1972296382) is a healthcare organization registered as a primary care in Bolingbrook, Illinois and active in the NPI registry since May 2023. The organization lists Isoken Ogbomo, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1972296382
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBRIDGEWELL LLC
Location Address402 W BOUGHTON RD STE ABolingbrook, IL 60440-1998
Mailing Address402 W Boughton Rd Ste ABolingbrook, IL 60440-1998 · (312) 451-6148
Phone(312) 451-6148
Organization SubpartNo
Authorized OfficialIsoken OgbomoNurse Practitioner · (312) 451-6418
Enumeration DateMay 31, 2023
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1972296382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
402 W BOUGHTON RD STE A, Bolingbrook, IL 60440
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Other Providers at the Same Location NPPES 2

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

BRENDA K. WHITE LCPC
Counselor (Professional)
402 W BOUGHTON RD STE A
BOLINGBROOK, IL 60440
Will County (312) 971-6653
COMPLETE HEALTH SERVICES INC
In Home Supportive Care
402 W BOUGHTON RD STE A
BOLINGBROOK, IL 60440
Will County (630) 300-0446

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 Bridgewell LLC's NPI number?

The NPI number for Bridgewell LLC is 1972296382. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Bridgewell LLC located?

Bridgewell LLC is located at 402 W Boughton Rd Ste A, Bolingbrook, IL 60440. The listed phone number is (312) 451-6148.

What is Bridgewell LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Bridgewell LLC was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.