Organization Active NPI

Harmony Medical and Wellness Center Inc

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1003848326
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036048011 Issued in IL
Legal business name
HARMONY MEDICAL AND WELLNESS CENTER INC
Practice address
4600 N Magnolia
Harmony Medical and Wellness Center Suite D
Chicago, IL 60640
Phone
(773) 989-1885
Fax
(773) 989-9828
NPI assigned
Jul 7, 2006
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Dr. James G Mo, MDNPI 1962486571
Title
Physician
Phone
(773) 989-1885

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 Physician 207Q00000X 036048011 IL Primary

Addresses

Primary practice location

4600 N Magnolia
Harmony Medical and Wellness Center Suite D
Chicago, IL 60640

Mailing address

4600 N Magnolia Ave
Suite D
Chicago, IL 60640-5083
Phone (773) 989-1885

Other identifiers 1

IdentifierTypeStateIssuer
036048011MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000355 IL Part B Supplier - Clinic/Group Practice 4880677343 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4600 N Magnolia Ave
Ste D
Chicago, IL 60640
Phone (773) 989-1885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1003848326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N MAGNOLIA AVE",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405083",
            "telephone_number": "773-989-1885",
            "fax_number": "773-989-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N MAGNOLIA",
            "address_2": "HARMONY MEDICAL AND WELLNESS CENTER SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-989-1885",
            "fax_number": "773-989-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY MEDICAL AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-989-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036048011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.