Serenity Breast Health and Wellness PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SERENITY BREAST HEALTH AND WELLNESS PLLC

Practice address

1935 S Wabash Ave Ste 4
Chicago, IL 60616-2051

Phone

(312) 775-2313

Fax

(312) 586-8124

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Jilma Patrick, MDNPI 1497980452

Title

Authorized Official

Phone

(312) 775-2313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Jilma Patrick, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1497980452
  Medicare reassignment Authorized official
• Cordia Marie Clark-White, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1861676538
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1205671237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 S WABASH AVE STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162051",
            "telephone_number": "312-775-2313",
            "fax_number": "312-586-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 S WABASH AVE STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162051",
            "telephone_number": "312-775-2313",
            "fax_number": "312-586-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7420 Central Ave Bldg C1",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051800",
            "country_code": "US",
            "telephone_number": "708-763-2700",
            "fax_number": "708-488-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY BREAST HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JILMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "312-775-2313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Insight, PLLC
• Serene Sapphire LLC
• Serene Solutions Consulting LLC
• Serengeti Wellness PLLC
• Serenity Align Wellness and Counseling
• Serenity Counseling Center
• Serenity Family Chiropractic PLLC
• Serenity Health & Wellness, LTD
• Serenity Homecare Services of Illinois
• Serenity Hospice LLC

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.