Corporate Wellness Partners LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CORPORATE WELLNESS PARTNERS LLC

Practice address

716 S Milwaukee Ave
Libertyville, IL 60048-3225

Phone

(847) 990-7220

Fax

(847) 984-2597

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Betsy Matthews, CPA, MBA

Title

Administrator

Phone

(847) 990-7220

Specialties & licenses 1

Addresses

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.

• Jonathan S Citow, MD

  • Neurological Surgery Physician
  • Libertyville, IL
  • NPI 1093703571
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721520000000",
    "number": "1295110898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483225",
            "telephone_number": "847-990-7220",
            "fax_number": "847-984-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483225",
            "telephone_number": "847-990-7220",
            "fax_number": "847-984-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE WELLNESS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-990-7220",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Corkill
• Erin Rawling Cornell, MSOT
• Emely Giselle Corona
• Maria Coronelli, MS, OTR/L
• Corporate Wellness Partners LLC
• Amanda Cotto
• Counseling Connection Inc.
• Country Court Dental Care
• County of Lake (d/b/a Winchester House)
• County of Lake (Lake County Health Department and Community Health Center)

• Physician Assistant in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.