Wilmette Elevated Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILMETTE ELEVATED INC

Practice address

1511 W Albion Ave Apt 3
Chicago, IL 60626-6651

Phone

(305) 205-7768

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Aleksey Razdolgin

Title

President

Phone

(305) 205-7768

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1346010303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N LAKE SHORE DR APT 1302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105137",
            "telephone_number": "305-205-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W ALBION AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266651",
            "telephone_number": "305-205-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMETTE ELEVATED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "RAZDOLGIN",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-7768"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.