Preventive Cardiovascular Services & Health Services

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

PREVENTIVE CARDIOVASCULAR SERVICES & HEALTH SERVICES

Practice address

4800 S Chicago Beach Dr Apt 311S
Chicago, IL 60615-7019

Phone

(312) 933-5204

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Michelle Wicks, MSC MD Mba, MD MBA MSC LAC

Title

Partner Acupuncture & Nutrition

Phone

(312) 933-5204

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.

• Sheila Michelle Wicks, BSC MS MB,MBA,LAC

  • Specialist
  • Chicago, IL
  • NPI 1922206226
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093187239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W SUPERIOR ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543416",
            "telephone_number": "312-933-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S CHICAGO BEACH DR APT 311S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606157019",
            "telephone_number": "312-933-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARDIOVASCULAR SERVICES & HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WICKS, MSC MD MBA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER ACUPUNCTURE & NUTRITION",
        "authorized_official_telephone_number": "312-933-5204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA MSC LAC"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole M Previs, LCSW
• Patrick Prewit, LPC
• Mary Frances Prewitt, APN
• Charles Edward Preyar, L.C.S.W.

• Nutrition Education Nutritionist in Chicago, IL
• Providers in Chicago, IL by specialty
• Nutrition Education Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.