Eb Wellness LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

EB WELLNESS LLC

Practice address

6600 N Lincoln Ave Ste 314
Lincolnwood, IL 60712-3633

Phone

(773) 250-3413

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Elieazer Brand, LCSW

Title

Owner

Phone

(773) 250-3413

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eliezer David Brand, LSW

  • Social Worker
  • Lincolnwood, IL
  • NPI 1447826177
  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1235975921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 314",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123633",
            "telephone_number": "773-250-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 314",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123633",
            "telephone_number": "773-250-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EB WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "ELIEAZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-250-3413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.