Wellness Center at Clare Oaks

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

39198502 Issued in IL

Legal business name

WELLNESS CENTER AT CLARE OAKS

Practice address

825 Carillon Dr
Bartlett, IL 60103-4581

Phone

(630) 372-1983

Fax

(630) 483-4985

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Chris Jackson

Title

Accounting Director

Phone

(630) 483-4743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1154567378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CARILLON DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034581",
            "telephone_number": "630-372-1983",
            "fax_number": "630-483-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CARILLON DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034581",
            "telephone_number": "630-372-1983",
            "fax_number": "630-483-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER AT CLARE OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ACCOUNTING DIRECTOR",
        "authorized_official_telephone_number": "630-483-4743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "39198502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.