Individual provider Active NPI

Helen Wondowassen, PHARMD

  • Pharmacist
  • Mount Prospect, IL
National Provider Identifier
1063008753
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303647 Issued in IL
Practice address
1002 S Busse Rd
Mount Prospect, IL 60056-4570
Phone
(847) 871-6291
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051303647ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Park CVS LLC PastSince Dec 22, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303647 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1002 S Busse Rd
Mount Prospect, IL 60056-4570

Mailing address

1002 S Busse Rd
Mount Prospect, IL 60056-4570
Phone (847) 871-6291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2020.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1063008753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S BUSSE RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564570",
            "telephone_number": "847-871-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S BUSSE RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564570",
            "telephone_number": "847-871-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDOWASSEN",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.