Wellness for Life

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WELLNESS FOR LIFE

Practice address

1515 N Harlem Ave Ste 101
Oak Park, IL 60302-1205

Phone

(708) 948-7039

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Rasheca JacksonNPI 1134773229

Title

Manager

Phone

(773) 596-7108

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rasheca S Jackson, FNP / PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, IL
  • NPI 1134773229

  Family

  NPD (past) Authorized official
• Latonya Robinson, NP-C / PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, IL
  • NPI 1891340295

  Family

  NPD

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1063284818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE STE 101",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021205",
            "telephone_number": "708-948-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE STE 101",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021205",
            "telephone_number": "708-948-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RASHECA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-596-7108"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Adjusted World
• Well Behavioral Medicine and Metabolic Health LLC
• Well Woman Psychiatry
• Alan W. Weller, D.C.
• Wellness Chicago Complementary Medical Centers
• Earl Wendel, M.D.
• Elizabeth A Werner, PA-C
• Kimberly K Werner, PHARMD
• Valerie Ann Werner, LMFT
• Wesley C. Wise, DDS & Associates, LTD

• Family Nurse Practitioner in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.