Hope Wellness Center and Spa PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209010507 Issued in IL

Legal business name

HOPE WELLNESS CENTER AND SPA PC

Practice address

10540 S Western Ave Ste 103
Chicago, IL 60643-2541

Phone

(773) 985-5734

Fax

(773) 941-5131

NPI assigned

Oct 19, 2017

Last updated

Mar 17, 2018By 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

Mrs. Maria Jefferson-Walker, APRN

Title

Owner/Ceo

Phone

(773) 985-5734

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144731944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541",
            "telephone_number": "773-985-5734",
            "fax_number": "773-941-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541",
            "telephone_number": "773-985-5734",
            "fax_number": "773-941-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10540 S Oakley Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606432526",
            "country_code": "US",
            "telephone_number": "773-985-5734",
            "fax_number": "773-941-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE WELLNESS CENTER AND SPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON-WALKER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "773-985-5734",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209010507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Land Therapy, LLC (Hope Land Therapy)
• Hope Medical Group Chicago PLLC
• Hope Medical Supplies and Hospital Equipment Inc.
• Hope Network Foundation
• Hope Psychological Services PLLC
• Hope Women's Imaging and Medical Center, LLC
• Brent Allen Hope, MSW
• Brooklynn Hope
• Gayle Hope, MPT
• Kareyma Laura Hope, OTR

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.