Holistic Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036094988 Issued in IL

Legal business name

HOLISTIC FAMILY MEDICINE

Practice address

11110 S Sawyer Ave
Chicago, IL 60655-2724

Phone

(773) 881-7191

NPI assigned

Aug 28, 2008

Organization subpart

No

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

Authorized official

Name

Larry Jenkins

Title

Office Manager

Phone

(312) 953-0547

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jifunza Charlene Wright, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1497803969
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1043468440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 W 105TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432915",
            "telephone_number": "773-881-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552724",
            "telephone_number": "773-881-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-953-0547"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delicia Elnora Elaine Holiday, RN
• Chloe Holifield, MD
• Lauren Holinger, MD
• Paul Campbell Holinger, MD
• Holistic Community Outreach Center Inc.
• Holistic Haven L.L.C.
• Holistic Physical Therapy
• Jane Louise Holl, MD MPH
• Christopher Hollabaugh, MD
• Crystal Nicole Holland-Everson, LPC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.