Organization Active NPI

Yigazu Wellness Clinic S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1225432297
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YIGAZU WELLNESS CLINIC S.C.
Practice address
2143 W Wellington Ave
Suite 100
Chicago, IL 60618-8268
Phone
(773) 528-8400
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Solomon Yigazu, M.D.
Title
Owner
Phone
(773) 528-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2143 W Wellington Ave
Suite 100
Chicago, IL 60618-8268

Mailing address

3660 N Lake Shore Dr
Suite 3601
Chicago, IL 60613-5300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1225432297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 N LAKE SHORE DR",
            "address_2": "SUITE 3601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 W WELLINGTON AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188268",
            "telephone_number": "773-528-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIGAZU WELLNESS CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "YIGAZU",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-528-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.