Essential Wellness & Pain Center, LTD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.017714 Issued in IL

Legal business name

ESSENTIAL WELLNESS & PAIN CENTER, LTD

Practice address

7231 W 103Rd St
Palos Hills, IL 60465-2064

Phone

(708) 233-0022

Fax

(708) 233-2322

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rory McKenna

Title

Owner

Phone

(312) 669-4536

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1083196596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652064",
            "telephone_number": "708-233-0022",
            "fax_number": "708-233-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652064",
            "telephone_number": "708-233-0022",
            "fax_number": "708-233-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL WELLNESS & PAIN CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-669-4536",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lucienne Ehlers, DC
• Amber N Eisterhold, PA-C
• Elaine G. Stolis,D.D.S. & Associates
• Jazmin Karina Enriquez
• Gloria Jean Erick, RBT 17-36284
• Anton Jiries Fakhouri, MD
• Warren Sherman Fatland, DDS
• Nicole Marie Feiferis, MHP
• Karolina Figus, PTA, LMT
• Kaya Maggie Figus, PTA

• Nurse Practitioner in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.