Fourcorners Wellness Center, Ltd
NPI 1932968633 · Clinical Social Worker · Loves Park, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fourcorners Wellness Center, Ltd is a Clinical Social Worker organization in Loves Park, IL (NPI 1932968633).
Provider details
- NPI number
- 1932968633
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Polky, Founder/President(815) 988-4370
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-15
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Frequently asked questions
- What is Fourcorners Wellness Center, Ltd's NPI number?
- Fourcorners Wellness Center, Ltd's National Provider Identifier (NPI) is 1932968633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fourcorners Wellness Center, Ltd?
- Fourcorners Wellness Center, Ltd is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Fourcorners Wellness Center, Ltd located?
- Fourcorners Wellness Center, Ltd's practice location on file with NPPES is 4001 N Perryville Rd, Loves Park, IL 61111-8644.
- What is Fourcorners Wellness Center, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Fourcorners Wellness Center, Ltd is (815) 988-4370.
- Does Fourcorners Wellness Center, Ltd accept Medicare?
- Fourcorners Wellness Center, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fourcorners Wellness Center, Ltd?
- The authorized official listed on Fourcorners Wellness Center, Ltd's NPPES record is Kevin Polky, Founder/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fourcorners Wellness Center, Ltd's NPI active?
- Yes — Fourcorners Wellness Center, Ltd's NPI (1932968633) is active in the NPPES registry as of the last update on 2024-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.