Dynamic Medical Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DYNAMIC MEDICAL WELLNESS LLC

Practice address

19710 Governors Hwy Ste 51161
Flossmoor, IL 60422-2080

Phone

(630) 949-7369

Fax

(630) 358-6914

NPI assigned

Sep 25, 2024

Last updated

Mar 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danesha Howard, NPNPI 1255760799

Title

Ceo & Founder

Phone

(630) 949-7369

Specialties & licenses 1

Addresses

Locations

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.

• Danesha Howard, FNP-BC

  • Family Nurse Practitioner
  • Deer Park, IL
  • NPI 1255760799
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1629895065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 51161",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "630-949-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 51161",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "630-949-7369",
            "fax_number": "630-358-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5373 W Alabama St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565923",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Coit Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716656",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 N Milwaukee St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024148",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17103 Oak Park Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604773405",
            "country_code": "US",
            "telephone_number": "630-949-7369",
            "fax_number": "630-358-6914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DANESHA",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "630-949-7369",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Dixon
• Kimberly Docking
• Jillian Doherty, M.S. SLP CCC
• Tracy Douglas
• Dr Lofton Therapy & Consulting LLC
• Ebrea Dialysis LLC (Flossmoor Home Dialysis)
• Monica Monique Edwards
• Kristen Efantis
• David Chang Engblade, CRNA
• Envision Unlimited

• Family Nurse Practitioner in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.