Viru SC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

VIRU SC

Doing business as

Olivo Wellness Medical Center

Practice address

2901 N Clybourn Ave
Chicago, IL 60618-8101

Phone

(773) 384-7977

Fax

(773) 451-8285

NPI assigned

Sep 16, 2014

Last updated

Jan 25, 2016By 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

Dr. Jacqueline Olivo, M.D.NPI 1295767366

Title

M.D.

Phone

(773) 423-6178

Specialties & licenses 1

Addresses

Other names 1

• Olivo Wellness Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jacqueline Olivo, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1295767366
  Authorized official Same address or phone

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1295136794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188101",
            "telephone_number": "773-384-7977",
            "fax_number": "773-451-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188101",
            "telephone_number": "773-384-7977",
            "fax_number": "773-451-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRU SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "OLIVO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "773-423-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivo Wellness Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virtual Injury Care PLLC
• Virtual Pathology Partners, LLC
• Virtue Counseling Center
• Virtue Home Care
• Virtuoso Vanguard LLC
• Viru SC (Olivo Wellness Center)
• Viru SC
• Jose Miguel Viruet, LCPC, CRADC
• Lynnea Renae Vis, PSY.D.
• Johanna Visa

• Prosthetic/Orthotic Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.