Organization Active NPI

Aeg Wellness

  • Community/Behavioral Health Agency
  • Deerfield, IL
National Provider Identifier
1194470336
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AEG WELLNESS
Practice address
1020 Milwaukee Ave
Deerfield, IL 60015-3513
Phone
(847) 807-8740
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Abby E Gagerman, LCSWNPI 1245883453
Title
LCSW, Owner
Phone
(847) 807-8740

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1020 Milwaukee Ave
Deerfield, IL 60015-3513

Mailing address

529 Susan LN
Deerfield, IL 60015-3950
Phone (847) 533-0955

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1194470336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SUSAN LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153950",
            "telephone_number": "847-533-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153513",
            "telephone_number": "847-807-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEG WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GAGERMAN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "847-807-8740",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.