Essential Health Partners, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ESSENTIAL HEALTH PARTNERS, LLC

Practice address

814 Commerce Dr Ste 350
Oak Brook, IL 60523-1965

Phone

(815) 496-6004

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Erika Kirston Van Wagner, MHA

Title

VP of Development

Phone

(815) 496-6004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1215499884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 COMMERCE DR STE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231965",
            "telephone_number": "815-496-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 COMMERCE DR STE 350",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231965",
            "telephone_number": "815-496-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "VAN WAGNER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "KIRSTON",
        "authorized_official_title_or_position": "VP OF DEVELOPMENT",
        "authorized_official_telephone_number": "815-496-6004",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.