Personalized Wellness Internal Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PERSONALIZED WELLNESS INTERNAL MEDICINE INC

Practice address

3150 W Higgins Rd
Suite 120
Hoffman Estates, IL 60169-7237

Phone

(847) 884-3920

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Mary K George, MDNPI 1689648727

Title

Owner

Phone

(847) 884-3920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Mary K George, M.D.

  • Internal Medicine Physician
  • Hoffman Estates, IL
  • NPI 1689648727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1235479510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 W HIGGINS RD",
            "address_2": "SUITE 120",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697237",
            "telephone_number": "847-884-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W HIGGINS RD",
            "address_2": "SUITE 120",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697237",
            "telephone_number": "847-884-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED WELLNESS INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-884-3920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Perez, M.D.
• Roxana M Perez
• Rachel Perillo, LCPC
• Jonathan George Perle, PH.D.
• Ava S Perrone
• Taylor Petesch, MD
• Alfred John Petrone, DC, DABCO
• Anthony J Petrone, DC
• Jori Grace Marilyn Petrone
• Lisa Marie Petrongelli, PSY.D, APRN-BC, FPA

• Internal Medicine Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.