Healthcare Provider Details

I. General information

NPI: 1376496950
Provider Name (Legal Business Name): NMC WELLNESS GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S IL ROUTE 31 STE 3
MCHENRY IL
60050-3134
US

IV. Provider business mailing address

620 S IL ROUTE 31 STE 3
MCHENRY IL
60050-3134
US

V. Phone/Fax

Practice location:
  • Phone: 815-475-5878
  • Fax:
Mailing address:
  • Phone: 815-475-5878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINE WILSON
Title or Position: OWNER, PMHNP-BC
Credential: NP
Phone: 224-237-5995