Organization
Dynamic Medical Wellness LLC
Provider's NPPES record last updated: March 26, 2025
Overview
- Entity Type
- Organization
- NPI
- 1629895065
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Flossmoor, Illinois
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 3:13 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Practice Locations
Practice Location
19710 Governors Hwy Ste 51161
Flossmoor, Illinois 60422-2080
Phone: (630) 949-7369
Additional Practice Location
17103 Oak Park Ave
Tinley Park, Illinois 60477-3405
Phone: (630) 949-7369
Fax: (630) 358-6914
Additional Practice Location
333 1st St Ste A
San Francisco, California 94105-2661
Phone: (888) 803-3370
Fax: (888) 803-3331
Additional Practice Location
21660 W Field Pkwy
Deer Park, Illinois 60010-7265
Phone: (888) 803-3370
Additional Practice Location
5373 W Alabama St Ste 204
Houston, Texas 77056-5923
Phone: (888) 803-3370
Additional Practice Location
1400 N Coit Rd Ste 302
Mckinney, Texas 75071-6656
Phone: (888) 803-3370
Additional Practice Location
790 N Milwaukee St Ste 313
Milwaukee, Wisconsin 53202-4148
Phone: (888) 803-3370
Record Information
- Enumeration Date
- September 25, 2024
- Provider's NPPES Record Last Updated
- March 26, 2025
- Certification Date
- March 26, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue