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Livingwell Clinic PLLC

Internal Medicine in Bloomingdale, IL. Organization (NPI-2).

NPI number1861281925
StatusActive
Last updated in NPPESAug 29, 2025

Details

NPI
1861281925
Entity type
Organization (NPI-2)
Legal business name
Livingwell Clinic PLLC
Organization subpart
No
Enumeration date
May 5, 2025
Certification date
Aug 29, 2025
Last updated
Aug 29, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
152W00000X Optometrist––
2083B0002X Preventive Medicine, Obesity Medicine––

Other names

  • Livingwell Clinic (Doing Business As)

Practice location

473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674

Phone 630-242-2455

Mailing address

473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674

Phone 630-242-2455

Authorized official

Manali Patel
MD/Owner
6302422455

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Bloomingdale, IL

All 27 Internal Medicine Physician providers in Bloomingdale · All 962 providers in Bloomingdale

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