Clear Ridge Wellness Center LTD.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

209.008667 Issued in IL

Legal business name

CLEAR RIDGE WELLNESS CENTER LTD.

Practice address

6745 W 63Rd St
Chicago, IL 60638-4003

Phone

(773) 229-8545

Fax

(773) 229-8545

NPI assigned

Aug 25, 2011

Last updated

Feb 13, 2012By 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

Margaret Kay Stelle-Betman, APN, FNP-BC

Title

Family Nurse Practitioner

Phone

(309) 287-5506

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1174803878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384003",
            "telephone_number": "773-229-8545",
            "fax_number": "773-229-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384003",
            "telephone_number": "773-229-8545",
            "fax_number": "773-229-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR RIDGE WELLNESS CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "STELLE-BETMAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "309-287-5506",
        "authorized_official_credential": "APN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "209.008667",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "041.283154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Labs LLC
• Clear Mind Therapy PLLC
• Clear Minds Better Lives PC
• Clear Path Therapy LLC
• Clear Point Testing
• Clear Therapy PLLC
• Clear View Optical Inc.
• Clear Vision Corporation
• Clearing Collective
• Clearing Vision Professional Corporation (Clearing Vision)

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Feb 13, 2012; 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.