Organization Active NPI

Wellbeingmd, John R. Principe MD, LTD

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1306036439
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLBEINGMD, JOHN R. PRINCIPE MD, LTD
Practice address
11950 S Harlem Ave
Palos Heights, IL 60463-1150
Phone
(708) 448-9450
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Robin L Blamer
Title
Billing Service
Phone
(630) 551-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11950 S Harlem Ave
Palos Heights, IL 60463-1150

Mailing address

11950 S Harlem Ave
Palos Heights, IL 60463-1150
Phone (708) 448-9450

National Provider Directory

National Provider Directory

Locations

13011 S 104th Ave
Ste 207
Palos Park, IL 60464
Phone (708) 448-9450

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1306036439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150",
            "telephone_number": "708-448-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150",
            "telephone_number": "708-448-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEINGMD, JOHN R. PRINCIPE MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "BLAMER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SERVICE",
        "authorized_official_telephone_number": "630-551-1097"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.