MEDICARE: THRIVE URGENT WELLNESS CENTER LLC

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	261QU0200X	Urgent Care Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043190440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE URGENT WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	403 W GALENA BLVD STE 109
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3948
Country	:	US
Telephone Number	:	331-258-9754
Fax Number	:	331-301-7359

Provider Business Practice Location Address
First Line	:	403 W GALENA BLVD STE 109
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3948
Country	:	US
Telephone Number	:	773-701-7531
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	THOMAS LEE
Credential	:	MD
Telephone Number	:	331-528-9754

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	02/02/2026

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