Florence Wellness of Illinois PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FLORENCE WELLNESS OF ILLINOIS PC

Practice address

515 N State St
Chicago, IL 60654-4854

Phone

(202) 893-7910

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Halpert

Title

Secretary

Phone

(202) 893-7910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1255063533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544854",
            "telephone_number": "202-893-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE WELLNESS OF ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "202-893-7910"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenette Floore, MA QMHP
• Linda S Florczak-Wieser
• Julia Florek Carlson
• Fernando Florek
• Florence Mussat MD SC
• Jason Florence, MT
• Myron Krys Florence, PHD
• Neal Richard Florence, MD
• Sarah R Florence, M.D.
• Didiel Florenciani, CADC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jun 27, 2022; 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.