Diabetes Health & Wellness Center, Inc
Organization Active NPI Primary Care Clinic/Center · Highwood, IL
NPI 1346846680 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1346846680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- DIABETES HEALTH & WELLNESS CENTER, INC
- Practice address
- 103 Highwood Ave
Highwood, IL 60040-1546 - Phone
- (734) 658-6685
- NPI assigned
- Dec 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Melissa Marie McGee, DNP, FNP
- Title
- Ceo
- Phone
- (734) 658-6685
Practitioners 1
-
Melissa M McGee, APNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2212062 | Diabetes Health & Wellness Center, the | Provider-performed microscopy | Feb 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220328000844 | IL | Part B Supplier - Clinic/Group Practice | 9830584978 |
Receives reassigned benefits from 1 practitioner Practice locations: Highwood, IL |
National Provider Directory
Locations
103 Highwood Ave
Highwood, IL 60040
Phone (734) 658-6685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
103 Highwood Ave
Highwood, IL 60040-1546
Mailing address
34318 N Haverton Dr
Gurnee, IL 60031-4282
Phone (734) 658-6685
Other providers in Highwood, IL
- Gerald Burke
- City of Highwood
- R Richard Cordero
- Christine Nicole Daniel
- Julienne Derichs
- Elite Health Providers, SC
- Family Dentistry of Highwood
- Fenix Family Health Center Inc.
- Karla Ann Giese
- Hilary Sartain Grimm
All providers in Highwood, IL · Primary Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.