Wellness Medical Center LLC
NPI 1609336627ActiveOrganization· Family Medicine· Niles, IL
Family Medicine in Niles, Illinois, registered in NPPES in March 2019. The authorized official on file is Olena Gordon, MD, Owner/ Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609336627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2019 |
| Last updated in NPPES | Dec 18, 2019 |
| Certified by provider | Dec 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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