OrganizationActive
Community Wellness Center, LLC
NPI 1174912166 · Health Educator · Shorewood, IL
Provider details
- NPI number
- 1174912166
- Entity type
- Organization
- Primary specialty
- Health EducatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Richelle Peterson, Owner(815) 404-0003
- License
- 227.013688 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs 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
863 Center Ct
Suite a
Shorewood, IL 60404-8511
Phone: (815) 404-0003
Street-level locationGet directions
Mailing address
863 Center Ct
Shorewood, IL 60404-8511
Registry dates
- Enumerated
- 2015-01-14
- Last updated
- 2015-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.