Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomwell Family Clinic PLLC

Organization Clinic/Center · NPI 1316819360

Bloomwell Family Clinic PLLC is a Clinic/Center in Wonder Lake, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8702 Sedge Meadow Dr
Wonder Lake, IL 60097-7604
Phone: (312) 399-1725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316819360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deidra Hall — Owner · (312) 399-1725
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address8702 Sedge Meadow Dr, Wonder Lake, IL 60097-7604

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