Whole Health MD LLC

Key facts

NPI

1366724577

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

WHOLE HEALTH MD LLC

Practice address

2266 N Lincoln Ave
Suite 300
Chicago, IL 60614-7600

Phone

(847) 293-0901

NPI assigned

Sep 13, 2011

Organization subpart

No

Authorized official

Name

Mrs. Ann Delacruz

Title

Manager

Phone

(847) 293-0901

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco Delacruz, M.D. Family Medicine Physician · Chicago, IL · NPI 1528110228
  Medicare reassignment NPD FAMILY MEDICINE · IL

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2011.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1366724577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147600",
            "telephone_number": "847-293-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147600",
            "telephone_number": "847-293-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-293-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

• Regina Whittmon
• Audra Lynne Whitton, MSN, MS, RN
• William Whitworth
• Whole Body Health & Wellness, SC
• Whole Family, Inc
• Whole Healthcare & Co.
• Whole Hearted Psychotherapy LLC
• Whole Three Wellness, PLLC
• Whole You Healing PC
• Wholehealth Chicago-3

All providers in Chicago, IL · Family Medicine Physician in Illinois