Active NPI
Ams Wellness PLLC
- Psychologist
- Burr Ridge, IL
National Provider Identifier
1003314832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 248.001954
- Legal business name
- AMS WELLNESS PLLC
- Practice address
- 277 83Rd St Ste D
Burr Ridge, IL 60527 - Phone
- (630) 891-3027
- NPI assigned
- Jan 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Church
- Title
- Billing Director
- Phone
- (630) 207-8506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 248.001954 | IL | Primary |
Addresses
Primary practice location
277 83Rd St Ste D
Burr Ridge, IL 60527
Mailing address
277 83Rd St Ste D
Burr Ridge, IL 60527
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516924800000",
"number": "1003314832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 83RD ST STE D",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 83RD ST STE D",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-891-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMS WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A",
"authorized_official_last_name": "CHURCH",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "630-207-8506"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IL",
"license": "248.001954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.