Will County Health & Wellness Center SC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WILL COUNTY HEALTH & WELLNESS CENTER SC

Practice address

2400 Caton Farm Rd
Unit K
Crest Hill, IL 60403-1386

Phone

(815) 609-9081

Fax

(815) 609-9218

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Kravarik, D.C.

Title

Owner

Phone

(815) 609-9081

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1346579901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CATON FARM RD",
            "address_2": "UNIT K",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031386",
            "telephone_number": "815-609-9081",
            "fax_number": "815-609-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CATON FARM RD",
            "address_2": "UNIT K",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031386",
            "telephone_number": "815-609-9081",
            "fax_number": "815-609-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL COUNTY HEALTH & WELLNESS CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "KRAVARIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-609-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Weidner
• Dehvin White-Peck
• Sharmeka Shanta White-Peck, PMHNP-BC
• Carolyn Whitfield, DPM
• Will County Chiropractic & Rehab Center, LLC
• Will County Health and Wellness
• Willow Falls Al Operations LLC
• Willow Falls Podiatry
• Krzysztof Wojtanek
• Denitta A Woods

• Physician Assistant in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.