Organization Active NPI

Family Medical Center

  • Primary Care Clinic/Center
  • Wheeling, IL
National Provider Identifier
1922300086
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36-097428 Issued in IL
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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.NPI 1164443438
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110121000821 IL Part B Supplier - Clinic/Group Practice 1759560816 Receives reassigned benefits from 1 practitioner
Practice locations: Wheeling, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0968729Family Medical Center52 N Wolf Rd, Wheeling, IL 60090Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.