Welllife-a Subsidiary of Innovative Sustainable Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLLIFE-A SUBSIDIARY OF INNOVATIVE SUSTAINABLE SOLUTIONS

Practice address

15808 Clifton Park Ave
Markham, IL 60428-3921

Phone

(773) 531-5163

NPI assigned

Aug 24, 2011

Organization subpart

Yes

Parent organization

INNOVATIVE SUSTAINABLE SOLUTIONSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andre McClerklin, MDIV

Title

Ceo

Phone

(773) 531-5163

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Kaye McClerklin, LCSW

  • Clinical Social Worker
  • Richton Park, IL
  • NPI 1952681041
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1003196973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 CLIFTON PARK AVE",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604283921",
            "telephone_number": "773-531-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 CLIFTON PARK AVE",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604283921",
            "telephone_number": "773-531-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE-A SUBSIDIARY OF INNOVATIVE SUSTAINABLE SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE SUSTAINABLE SOLUTIONS",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MCCLERKLIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-531-5163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MDIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Z and P Transportation
• Z and P Transportation Inc

• Community/Behavioral Health Agency in Markham, IL
• Providers in Markham, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.