MEDICARE: COVID TESTING CENTERS AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851044333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVID TESTING CENTERS AND WELLNESS

Provider Business Mailing Address
First Line	:	10158 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1928
Country	:	US
Telephone Number	:	708-465-2837
Fax Number	:	773-238-5903

Provider Business Practice Location Address
First Line	:	10158 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1928
Country	:	US
Telephone Number	:	708-465-2837
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WSAM TAIYM
Credential	:
Telephone Number	:	708-997-4546

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

Similar Medicare Providers

1720184559 — DR. ENRICO MEDINA DDS
Practice Location Address:

10142 S WESTERN AVE
CHICAGO, IL
60643-1928

Practice Phone: 773-233-3535
Practice Fax: 773-238-5713

1467540518 — BEVERLY SHORES SMILE CENTER
Practice Location Address:

10142 S WESTERN AVE
CHICAGO, IL
60643-1928

Practice Phone: 773-233-3535
Practice Fax: 773-238-5713

1982953683 — MRS. SHEILA M OLOFFSSON M.S., CCC-A
Practice Location Address:

1928 W 102 ST
CHICAGO, IL
60643-2025

Practice Phone: 773-779-8442
Practice Fax: 773-779-7298

1619819364 — BROWNSTONE THERAPEUTICS, PLLC
Practice Location Address:

5415 N SHERIDAN RD APT 1009
CHICAGO, IL
60640-1928

Practice Phone: 773-859-1276
Practice Fax:

1760552814 — MR. JONATHAN SPEIGEL M.S.W., LCSW
Practice Location Address:

30 N MICHIGAN AVE , SUITE 1928
CHICAGO, IL
60602-3402

Practice Phone: 312-726-1933
Practice Fax: 312-263-7271

1629230834 — DR. COLIN LIBERMAN M.D.
Practice Location Address:

2523 N MAPLEWOOD AVE , APT #1
CHICAGO, IL
60647-1928

Practice Phone: 773-360-8179
Practice Fax:

Directions to “COVID TESTING CENTERS AND WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.