Organization Active NPI

Wellbridge Clinical Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palatine, IL
National Provider Identifier
1528851896
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
WELLBRIDGE CLINICAL GROUP PLLC
Practice address
675 N North CT Ste 310
Palatine, IL 60067-8106
Phone
(847) 721-0984
Fax
(646) 777-1038
NPI assigned
May 28, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Jing Liang, MDNPI 1770842825
Title
Owner
Phone
(847) 721-0984

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
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

675 N North CT Ste 310
Palatine, IL 60067-8106

Mailing address

830 W Il Route 22 # 135
Lake Zurich, IL 60047-2560
Phone (847) 721-0984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260213002404 IL Part B Supplier - Clinic/Group Practice 7113407685 Receives reassigned benefits from 1 practitioner
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory

Locations

830 W State Route 22
Lake Zurich, IL 60047
Phone (224) 801-2760

675 N North Ct
Ste 310
Palatine, IL 60067
Phone (847) 520-7523

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": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1528851896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W IL ROUTE 22 # 135",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472560",
            "telephone_number": "847-721-0984",
            "fax_number": "646-777-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N NORTH CT STE 310",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678106",
            "telephone_number": "847-721-0984",
            "fax_number": "646-777-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBRIDGE CLINICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-721-0984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.