Wellness Primary Care, LLC

Organization Active NPI Medical Specialty Clinic/Center · Springfield, IL

NPI 1740147669 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1740147669
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
Legal business name
WELLNESS PRIMARY CARE, LLC
Practice address
975 S Durkin Dr
Springfield, IL 62704-1386
Phone
(773) 316-1022
NPI assigned
Jan 5, 2026
Organization subpart
No

Authorized official

Name
Alicia Altheimer, MD NPI 1760863716
Title
Owner/Physician
Phone
(773) 316-1022

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260616002373 IL Part B Supplier - Clinic/Group Practice 9335611839 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, IL

National Provider Directory

Locations

975 S Durkin Dr
Springfield, IL 62704
Phone (217) 494-7546

975 S Durkin Dr
Ste 201
Springfield, IL 62704

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Yes

Addresses

Primary practice location

975 S Durkin Dr
Springfield, IL 62704-1386

Mailing address

403 Piazza LN
Chatham, IL 62629-5035

Other providers in Springfield, IL

All providers in Springfield, IL · Medical Specialty Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.