Healthcare Provider Details

I. General information

NPI: 1598585119
Provider Name (Legal Business Name): GEMINI HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 TAFT AVE
WHEATON IL
60189-6849
US

IV. Provider business mailing address

1414 TAFT AVE
WHEATON IL
60189-6849
US

V. Phone/Fax

Practice location:
  • Phone: 630-341-1524
  • Fax:
Mailing address:
  • Phone: 708-567-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DON MATHEW
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 630-341-1524