Active NPI
Walk to Wellness, LLC
- Community/Behavioral Health Agency
- Downers Grove, IL
National Provider Identifier
1386481075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WALK TO WELLNESS, LLC
- Practice address
- 5630 Walnut Ave Apt 2a
Downers Grove, IL 60516-1068 - Phone
- (708) 406-9645
- NPI assigned
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammi Cherise Walker, MSW, LCSW
- Title
- Practice Owner
- Phone
- (773) 512-9332
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5630 Walnut Ave Apt 2a
Downers Grove, IL 60516-1068
Mailing address
422 S Main St Unit 2003
Lombard, IL 60148-2600
Phone (773) 512-9332
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lisle, IL
- NPI 1336632645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1386481075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 S MAIN ST UNIT 2003",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482600",
"telephone_number": "773-512-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 WALNUT AVE APT 2A",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605161068",
"telephone_number": "708-406-9645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALK TO WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "TAMMI",
"authorized_official_middle_name": "CHERISE",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "773-512-9332",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.