Wicked Wellness Spa PLLC
NPI 1104610286 · Family Medicine Physician · Tinley Park, IL
Wicked Wellness Spa PLLC is a Family Medicine Physician organization in Tinley Park, IL (NPI 1104610286).
Provider details
- NPI number
- 1104610286
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phylia Bolls, Owner(708) 600-2005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-05
- Last updated
- 2025-04-05
- Certified
- 2025-04-05
Frequently asked questions
- What is Wicked Wellness Spa PLLC's NPI number?
- Wicked Wellness Spa PLLC's National Provider Identifier (NPI) is 1104610286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wicked Wellness Spa PLLC?
- Wicked Wellness Spa PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wicked Wellness Spa PLLC located?
- Wicked Wellness Spa PLLC's practice location on file with NPPES is 6700 167th St Ste 4&5, Tinley Park, IL 60477-2859.
- What is Wicked Wellness Spa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wicked Wellness Spa PLLC is (708) 781-3007.
- Who is the authorized official for Wicked Wellness Spa PLLC?
- The authorized official listed on Wicked Wellness Spa PLLC's NPPES record is Phylia Bolls, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wicked Wellness Spa PLLC's NPI active?
- Yes — Wicked Wellness Spa PLLC's NPI (1104610286) is active in the NPPES registry as of the last update on 2025-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.