Exquisite Wellness Bar

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EXQUISITE WELLNESS BAR

Practice address

47 W Polk St # 100-203
Chicago, IL 60605-2000

Phone

(312) 852-3655

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Princess LomaxNPI 1073968442

Title

Ceo

Phone

(312) 671-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Princess Lomax, NP

  • Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1073968442
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1215715529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 PEACHTREE BLVD # 121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W POLK ST # 100-203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052000",
            "telephone_number": "312-852-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE WELLNESS BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "LOMAX",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-671-3800"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Medical Rehab, Inc.
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• Expressions Pediatric Speech Therapy, Inc
• Expressive Speech Therapy, PLLC
• Exquisite Care Spa and Wellness Inc.
• Extended Care Specialist, LTD
• Extended Family in-Home Senior Care Inc
• Eyas Landing, Inc.
• Carl E Eybel, MD
• Katherine Eydelman, NP

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.