Organization Active NPI

Willow & Elm Wellness

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1114546587
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WILLOW & ELM WELLNESS
Practice address
2560 W Armitage Ave Unit C2
Chicago, IL 60647-4341
Phone
(773) 869-5907
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Caitlin Courtney, DAOMNPI 1033686613
Title
Ceo
Phone
(773) 869-5907

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
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2560 W Armitage Ave Unit C2
Chicago, IL 60647-4341

Mailing address

1700 N Harding Ave
Chicago, IL 60647-4612
Phone (773) 869-5907

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1114546587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N HARDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474612",
            "telephone_number": "773-869-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W ARMITAGE AVE UNIT C2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474341",
            "telephone_number": "773-869-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW & ELM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-869-5907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 May 4, 2021; 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.