Wellness Integrative Medicine, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036103914 Issued in IL

Legal business name

WELLNESS INTEGRATIVE MEDICINE, INC

Doing business as

Wellness Integrative Medical Center

Practice address

18036 Gottschalk Ave
Homewood, IL 60430-1712

Phone

(708) 960-2986

Fax

(855) 869-8599

NPI assigned

Nov 15, 2013

Last updated

Jul 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rushia Butler, MD

Title

Owner

Phone

(708) 960-2986

Specialties & licenses 1

Addresses

Other names 1

• Wellness Integrative Medical Center Doing business as

Locations

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1114357811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18036 GOTTSCHALK AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301712",
            "telephone_number": "708-960-2986",
            "fax_number": "855-869-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18036 GOTTSCHALK AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301712",
            "telephone_number": "708-960-2986",
            "fax_number": "855-869-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INTEGRATIVE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "RUSHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-960-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036103914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Integrative Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makeva Watson, LPC
• Cassandra L. Weaver
• Earnest Webb Jr., MSW PHD
• Susan M Weingartner
• Wellness & Hope Behavioral Health Services PLLC
• Caitlin Wells
• Gabrielle Brittany Wells, PHARMD.
• Elesha Erin West, MAPC, MDIV
• Linda West, DT
• Whichdr Enterprises LTD

• Primary Care Clinic/Center in Homewood, IL
• Providers in Homewood, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.