Organization Active NPI

Restore Health LLC

  • Family Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1023988532
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RESTORE HEALTH LLC
Practice address
521 W Central Rd
Mount Prospect, IL 60056-6514
Phone
(224) 877-6186
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Klaudia GwozdzNPI 1568094803
Title
Owner
Phone
(224) 877-6186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

521 W Central Rd
Mount Prospect, IL 60056-6514

Mailing address

521 W Central Rd
Mount Prospect, IL 60056-6514
Phone (224) 877-6186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260428000599 IL Part B Supplier - Clinic/Group Practice 8426525411 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Prospect, IL

National Provider Directory

National Provider Directory

Locations

521 W Central Rd
Mt Prospect, IL 60056
Phone (224) 877-6186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1023988532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W CENTRAL RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566514",
            "telephone_number": "224-877-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W CENTRAL RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566514",
            "telephone_number": "224-877-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GWOZDZ",
        "authorized_official_first_name": "KLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-877-6186"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.