Active NPI
Livingwell Clinic PLLC
- Internal Medicine Physician
- Bloomingdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIVINGWELL CLINIC PLLC
- Practice address
- 473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674 - Phone
- (630) 242-2455
- NPI assigned
- May 5, 2025
- 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
- Manali Patel, MD
- Title
- MD/Owner
- Phone
- (630) 242-2455
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X |
Addresses
Primary practice location
473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Mailing address
473 W Army Trail Rd Ste 105
Bloomingdale, IL 60108-2674
Phone (630) 242-2455
Other names 1
- LivingWell Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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 |
|---|---|---|---|
| 14D2326744 | Livingwell Clinic PLLC | Certificate of waiver | Jul 8, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obesity Medicine (Preventive Medicine) Physician
- Bloomingdale, IL
- NPI 1770825853
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1861281925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD STE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-242-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 W ARMY TRAIL RD STE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082674",
"telephone_number": "630-242-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVINGWELL CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MANALI",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "630-242-2455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LivingWell Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.