Wellness Clinic LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042618102 Issued in IL

Legal business name

WELLNESS CLINIC LTD

Practice address

3510 Hobson Rd Ste 302
Woodridge, IL 60517-1442

Phone

(630) 886-5770

Fax

(866) 415-1201

NPI assigned

Nov 8, 2006

Last updated

Feb 23, 2023By 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

Barbara Benton, M.D.NPI 1073612941

Title

President

Phone

(630) 886-5770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Barbara Benton, M.D.

  • Psychiatry Physician
  • Woodridge, IL
  • NPI 1073612941
  Medicare reassignment NPD Authorized official
• Sherri Lynn Klis Urso, MD

  • Psychiatry Physician
  • Glen Ellyn, IL
  • NPI 1275569584
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1316017635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "630-886-5770",
            "fax_number": "866-415-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HOBSON RD STE 302",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171442",
            "telephone_number": "630-886-5770",
            "fax_number": "866-415-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-886-5770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "042618102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12624)
• Tiara Wallace
• Debra Walters, LCSW
• Gregory James Weber, DDS
• Jacqueline Weems, BCBA
• Wellspring Healthcare Services, Inc.
• Olimpia W Wesley
• West Regional MRI LTD Partnership (Vision MRI of Woodridge)
• Kathryn Westerkamp, M. ED.
• Western Dupage Obstetrics & Gynecology SC

• Psychiatry Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.