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Contact Information

LIVINGWELL CLINIC PLLC
473 W ARMY TRAIL RD STE 105
BLOOMINGDALE, IL60108-2674
 Phone: 630-242-2455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LIVINGWELL CLINIC PLLC · (Female)

NPI Number 1861281925
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2025
Last updated 08/29/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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