NPIMap

Organization Active NPI

Driven Wellness

  • Pain Clinic/Center
  • Franklin Park, IL
National Provider Identifier
1376139154
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
DRIVEN WELLNESS
Practice address
3535 Rose St Unit a
Franklin Park, IL 60131-2013
Phone
(847) 233-0806
Fax
(847) 233-0453
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Antonio PuglieseNPI 1386948784
Title
D.N L.Ac.
Phone
(708) 308-8669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3535 Rose St Unit a
Franklin Park, IL 60131-2013

Mailing address

3535 Rose St Unit a
Franklin Park, IL 60131-2013
Phone (847) 233-0806

Other names 1

  • Grand Clinic Former legal business name

National Provider Directory

National Provider Directory

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1376139154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSE ST UNIT A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312013",
            "telephone_number": "847-233-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 ROSE ST UNIT A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312013",
            "telephone_number": "847-233-0806",
            "fax_number": "847-233-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVEN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "PUGLIESE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "D.N L.AC.",
        "authorized_official_telephone_number": "708-308-8669"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.