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
- Title
- Owner/Physician
- Phone
- (773) 316-1022
Practitioners 1
-
Alicia Altheimer, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Robert Weitzel Jr.
- Amy J Welch
- Kari Ann Welch
- Well-America Corporation
- Wellness Equipment Solutions LLC
- David Michael Wells
- Jeannette A. Wells
- Laura Wells
- Robin J. Wells
- Tabatha Selina Wells
All providers in Springfield, IL · Medical Specialty 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 Jun 3, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.