Active NPI
Family Medical Center
- Primary Care Clinic/Center
- Wheeling, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 36-097428
- Legal business name
- FAMILY MEDICAL CENTER
- Practice address
- 52 N Wolf Rd
Wheeling, IL 60090-2901 - Phone
- (847) 465-0401
- NPI assigned
- Nov 23, 2010
- Last updated
- Feb 13, 2026
- 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
- Dr. Jorge E. Brunelle, M.D., M.P.H.
- Title
- President
- Phone
- (847) 465-0401
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | 36-097428 | IL | Primary |
Addresses
Primary practice location
52 N Wolf Rd
Wheeling, IL 60090-2901
Mailing address
52 N Wolf Rd
Wheeling, IL 60090-2901
Phone (847) 465-0401
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 |
|---|---|---|---|
| 14D0968729 | Family Medical Center | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
120 S Lincoln Ave
Aurora, IL 60505
Phone (630) 801-4150
52 N Wolf Rd
Wheeling, IL 60090
Phone (847) 465-0401
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.
-
- Internal Medicine Physician
- Wheeling, IL
- NPI 1164443438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1922300086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 N WOLF RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902901",
"telephone_number": "847-465-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 N WOLF RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902901",
"telephone_number": "847-465-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-23",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "BRUNELLE",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-465-0401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.P.H."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "36-097428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.