Active NPI
Hope Diagnostic and Wellness Center LLC
- Clinical Medical Laboratory
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HOPE DIAGNOSTIC AND WELLNESS CENTER LLC
- Doing business as
- Hope Diagnostic And Wellness Center LLC
- Practice address
- 1415 S 5TH Ave
Maywood, IL 60153-2128 - Phone
- (708) 529-7537
- Fax
- (708) 529-7230
- NPI assigned
- Sep 7, 2022
- Last updated
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moses O. Adeyanju, MD
- Title
- Owner
- Phone
- (708) 529-7537
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
1415 S 5TH Ave
Maywood, IL 60153-2128
Mailing address
1415 S 5TH Ave
Maywood, IL 60153-2128
Phone (708) 529-7537
Other names 1
- Hope Diagnostic And Wellness Center LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221007000071 | IL | Part B Supplier - Independent Clinical Laboratory | 2567848070 | Practice locations: Hickory Hills, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2253859 | Hope Diagnostic and Wellness Center LLC | Accreditation | Nov 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1415 S 5th Ave
Maywood, IL 60153
Phone (708) 345-6630
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Carbondale, IL
- NPI 1306820121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1497476683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 S 5TH AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601532128",
"telephone_number": "708-529-7537",
"fax_number": "708-529-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 S 5TH AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601532128",
"telephone_number": "708-529-7537",
"fax_number": "708-529-7230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE DIAGNOSTIC AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-07",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "ADEYANJU",
"authorized_official_first_name": "MOSES",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-529-7537",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Diagnostic And Wellness Center LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hope Diagnostic And Wellness Center LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.