Care Wanyana LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Rolling Meadows, IL
NPI 1013486083 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1013486083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CARE WANYANA LLC
- Practice address
- 3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127 - Phone
- (847) 305-3250
- Fax
- (815) 806-1205
- NPI assigned
- Nov 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Christine Wanyana, APN, PMHNP-BC
- Title
- Manager
- Phone
- (630) 303-3426
Practitioners 1
-
Christine Wanyana, APN, MSN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200817001784 | IL | Part B Supplier - Clinic/Group Practice | 3971929308 |
Receives reassigned benefits from 1 practitioner Practice locations: Decatur, IL; Rolling Meadows, IL |
National Provider Directory
Locations
30 N Michigan Ave
Ste 1410
Chicago, IL 60602
Phone (312) 726-7272
132 S Water St
Ste 445
Decatur, IL 62523
Phone (217) 843-3146
3701 Algonquin Rd
Ste 1050
Rolling Meadows, IL 60008
Phone (800) 216-1130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Gerontology Nurse Practitioner |
363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127
Mailing address
3701 Algonquin Rd Ste 1050
Rolling Meadows, IL 60008-3127
Phone (847) 305-3250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277000743 | Other | IL | APN |
Other names
- Embrace Integral Care LLC
Other providers in Rolling Meadows, IL
- Demetrio Hamoy Bustalino
- Robyn Nicole Calvelo
- Thomas Campbell
- Carabiner Surgical, LTD.
- David A Carbonell
- Careforte Home Healthcare Inc.
- Castle Chiropractic, LTD.
- Paul R Castle
- Catalyst Associates in Psychiatry and Psychology
- Ki Byung Chae
All providers in Rolling Meadows, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.