NPIMap

Organization Active NPI

Four Flowers Wellness

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1083151682
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
198000954 Issued in IL
Legal business name
FOUR FLOWERS WELLNESS
Practice address
2225 W North Ave
Chicago, IL 60647-5429
Phone
(312) 404-5882
NPI assigned
Jan 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Authorized official

Name
Ashley Flores, LACNPI 1467890962
Title
Owner
Phone
(312) 404-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 198000954 IL Primary

Addresses

Primary practice location

2225 W North Ave
Chicago, IL 60647-5429

Mailing address

2225 W North Ave
Chicago, IL 60647-5429
Phone (312) 404-5882

National Provider Directory

National Provider Directory

Locations

2225 W North Ave
Chicago, IL 60647
Phone (312) 404-5882

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484956800000",
    "number": "1083151682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475429",
            "telephone_number": "312-404-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475429",
            "telephone_number": "312-404-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR FLOWERS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-01-21",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-404-5882",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "198000954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; 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.