Midwest Health and Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038009211 Issued in IL

Legal business name

MIDWEST HEALTH AND WELLNESS LLC

Practice address

978 S Bartlett Rd
Bartlett, IL 60103-6500

Phone

(630) 289-5290

Fax

(630) 289-5291

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Herman K Lo, D.C.

Title

Manager

Phone

(630) 289-5290

Specialties & licenses 1

Addresses

Other names 1

• Bodies in Balance Wellness Doing business as

Locations

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1184959686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 S BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036500",
            "telephone_number": "630-289-5290",
            "fax_number": "630-289-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 S BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036500",
            "telephone_number": "630-289-5290",
            "fax_number": "630-289-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-289-5290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038009211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodies in Balance Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bartlett, IL
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.