Healthcare Provider Details

I. General information

NPI: 1043190440
Provider Name (Legal Business Name): THRIVE URGENT WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W GALENA BLVD STE 109
AURORA IL
60506-3948
US

IV. Provider business mailing address

403 W GALENA BLVD STE 109
AURORA IL
60506-3948
US

V. Phone/Fax

Practice location:
  • Phone: 773-701-7531
  • Fax:
Mailing address:
  • Phone: 331-258-9754
  • Fax: 331-301-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS LEE
Title or Position: MD
Credential: MD
Phone: 331-528-9754