NPIMap

Organization Active NPI

Heart of Transformation Wellness Institute SC

  • Clinic/Center
  • Evanston, IL
National Provider Identifier
1275926123
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
042.619453 Issued in IL
Legal business name
HEART OF TRANSFORMATION WELLNESS INSTITUTE SC
Practice address
1618 Orrington Ave
Suite 206
Evanston, IL 60201-5016
Phone
(847) 425-9355
Fax
(847) 424-9765
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Archana Lal-Tabak, M.D.NPI 1396878195
Title
President
Phone
(847) 425-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 042.619453 IL Primary
Clinic/Center 261Q00000X 036.079471 IL

Addresses

Primary practice location

1618 Orrington Ave
Suite 206
Evanston, IL 60201-5016

Mailing address

1618 Orrington Ave
Suite 206
Evanston, IL 60201-5016
Phone (847) 425-9355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1275926123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE",
            "address_2": "SUITE 206",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015016",
            "telephone_number": "847-425-9355",
            "fax_number": "847-424-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE",
            "address_2": "SUITE 206",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015016",
            "telephone_number": "847-425-9355",
            "fax_number": "847-424-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TRANSFORMATION WELLNESS INSTITUTE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "LAL-TABAK",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-425-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042.619453",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036.079471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.