FAMILY MEDICAL CENTER – Primary Care Clinic/Center, NPI 1922300086

FAMILY MEDICAL CENTER is a healthcare provider. based in Wheeling, Illinois. specializing in Primary Care Clinic/Center. The organization holds a License No. 36-097428 (IL). The NPI Number for FAMILY MEDICAL CENTER is 1922300086

Main info

Organization
Name
FAMILY MEDICAL CENTER
NPI
1922300086
Phone
(847) 465-0401
Address
52 N WOLF RD
Authorized Official
DR. JORGE E. BRUNELLE PRESIDENT M.D., M.P.H.
Enumeration Date
23 November 2010
Last Update Date
13 February 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for FAMILY MEDICAL CENTER

  • 52 N WOLF RD

    WHEELING, IL 600902901

    Phone: (847) 465-0401

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110121000821OClinic/Group PracticeIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60090)

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Reviews

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Frequently asked questions

Does FAMILY MEDICAL CENTER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FAMILY MEDICAL CENTER uses 1922300086.
Can I rely on FAMILY MEDICAL CENTER being an active provider?
As of the registry snapshot, FAMILY MEDICAL CENTER is marked active.
What taxonomy line describes FAMILY MEDICAL CENTER?
For research purposes, treat FAMILY MEDICAL CENTER as Primary Care Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Does FAMILY MEDICAL CENTER list a practice location?
Patients near Wheeling, Illinois may find FAMILY MEDICAL CENTER in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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