Organization Active NPI

Enlightened World of Recovery, Inc.

  • Multi-Specialty Clinic/Center
  • Galena, IL
National Provider Identifier
1194497297
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ENLIGHTENED WORLD OF RECOVERY, INC.
Practice address
939 Galena Square Dr
Galena, IL 61036-1355
Phone
(779) 214-6511
NPI assigned
Sep 28, 2021
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mrs. Darla Weatherspoon, MS, CADCNPI 1942973201
Title
President
Phone
(773) 386-5936

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

939 Galena Square Dr
Galena, IL 61036-1355

Mailing address

PO Box 6253
Galena, IL 61036-6253
Phone (779) 214-6511

National Provider Directory

National Provider Directory

Locations

11912 S Michigan Ave
Chicago, IL 60628

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1194497297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610366253",
            "telephone_number": "779-214-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 GALENA SQUARE DR",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361355",
            "telephone_number": "779-214-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED WORLD OF RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "WEATHERSPOON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-386-5936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.