Organization Active NPI

Shine Functional Health, PLLC

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1003352139
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-111919 Issued in IL
Legal business name
SHINE FUNCTIONAL HEALTH, PLLC
Practice address
3233 N Arlington Heights Rd
Suite 302
Arlington Heights, IL 60004-1557
Phone
(224) 345-2532
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dr. Alison E Lechner, DONPI 1124000179
Title
Physician, Owner
Phone
(224) 345-2532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-111919 IL Primary

Addresses

Primary practice location

3233 N Arlington Heights Rd
Suite 302
Arlington Heights, IL 60004-1557

Mailing address

3233 N Arlington Heights Rd
Suite 302
Arlington Heights, IL 60004-1557
Phone (224) 345-2532

Other names 1

  • Shine Functional Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1003352139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 302",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "224-345-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 302",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041557",
            "telephone_number": "224-345-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE FUNCTIONAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "LECHNER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "224-345-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-111919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Functional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.