Healing Edge Medical Group Il

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

HEALING EDGE MEDICAL GROUP IL

Practice address

1200 N Ashland Ave Ste 500
Chicago, IL 60622-8327

Phone

(310) 779-3224

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Jeffrey Halperin

Title

Coo

Phone

(626) 673-5605

Specialties & licenses 2

Addresses

Other names 1

• Healing Edge Medical Group -IL, LTD. Former legal business name

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1033959127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HUNTINGTON DR STE 203",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918011022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228327",
            "telephone_number": "310-779-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDGE MEDICAL GROUP IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HALPERIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "626-673-5605"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Edge Medical Group -IL, LTD.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Healing Edge Medical Group -IL, LTD.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Heald-Sargent, M.D., PH.D.
• Lynn M Heald, APN
• Healed and Whole Counseling Services LLC
• Healing and Fuerza Therapy LLC
• Healing Beyond Measure LLC
• Healing Empowering & Learning Professionals LLC
• Healing Empowering & Learning Professionals LLC (Help LLC)
• Healing Empowering & Learning Professionals LLC (HELP LLC Chicago Clinic)
• Healing Foundations, LLC
• Healing Generations Counseling PLLC

• Surgical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.