PERSONAL WELLNESS MEDICAL NPI 1477414621

NPI Information

  • NPI: 1477414621
  • Provider Name: PERSONAL WELLNESS MEDICAL
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 7805 TAFT ST
    MERRILLVILLE, IN
    ZIP 46410
  • Phone: (219) 742-7328

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NPI Details

PERSONAL WELLNESS MEDICAL is a clinic center in Merrillville, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PERSONAL WELLNESS MEDICAL NPI is 1477414621. The provider is registered as an organization entity type.

The provider's business location address is:

7805 TAFT ST
MERRILLVILLE, IN
ZIP 46410-233
Phone: (219) 742-7328
Fax: (219) 343-5454

The provider's authorized official is Vanessa Vega .
The authorized official title is Manager and has the following contact phone number (219) 742-7328.

The enumeration date for this NPI number is 11/18/2025 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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