Organization Active NPI

Care Lynn Health & Wellness Clinic PLLC

  • Community Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1114780608
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
CARE LYNN HEALTH & WELLNESS CLINIC PLLC
Practice address
332 S Michigan Ave Ste 112
Chicago, IL 60604-4434
Phone
(312) 574-0867
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Authorized official

Name
Asantewah Daniels Adams, APRN
Title
Ceo/FNP
Phone
(708) 874-0393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

332 S Michigan Ave Ste 112
Chicago, IL 60604-4434

Mailing address

332 S Michigan Ave Ste 112
Chicago, IL 60604-4434
Phone (708) 874-0393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709000255 IL Part B Supplier - Clinic/Group Practice 0446764781 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

332 S Michigan Ave
Ste 112
Chicago, IL 60604
Phone (312) 574-0867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757203200000",
    "number": "1114780608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "708-874-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "312-574-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LYNN HEALTH & WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "DANIELS ADAMS",
        "authorized_official_first_name": "ASANTEWAH",
        "authorized_official_title_or_position": "CEO/FNP",
        "authorized_official_telephone_number": "708-874-0393",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.