Organization Active NPI

Wellview Partners, LLC

  • Nutrition Chiropractor
  • Lake Forest, IL
National Provider Identifier
1174896484
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
038008858 Issued in IL
Legal business name
WELLVIEW PARTNERS, LLC
Practice address
225 E Deerpath
#132
Lake Forest, IL 60045-1952
Phone
(224) 544-5777
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Mark William Severance, D.C.NPI 1750503454
Title
Owner
Phone
(224) 544-5777

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
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 038008858 IL Primary

Addresses

Primary practice location

225 E Deerpath
#132
Lake Forest, IL 60045-1952

Mailing address

225 E Deerpath
#132
Lake Forest, IL 60045-1952
Phone (224) 544-5777

Other names 1

  • Wellness From The Inside Out Doing business as

National Provider Directory

National Provider Directory

Locations

950 N Western Ave
Ste F
Lake Forest, IL 60045
Phone (224) 544-5777

225 E Deerpath
Ste 132
Lake Forest, IL 60045
Phone (224) 544-5777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1174896484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "#132",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "224-544-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "#132",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "224-544-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVIEW PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "SEVERANCE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-544-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038008858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness From The Inside Out",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.