Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Purewell Medical Clinic LLC

Organization Family Medicine Physician · NPI 1891640637

Purewell Medical Clinic LLC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1912 W 103rd St Ste A
Chicago, IL 60643-2625
Phone: (773) 526-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1891640637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kolawole Oyewole — Owner · (773) 526-8121
NPI enumeratedFebruary 26, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1912 W 103rd St Ste A, Chicago, IL 60643-2625

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