Organization Active NPI

Whole Life Care LLC

  • Primary Care Clinic/Center
  • Joliet, IL
National Provider Identifier
1396694782
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WHOLE LIFE CARE LLC
Practice address
2405 Essington Rd Ste B1125
Joliet, IL 60435-1200
Phone
(312) 504-0144
NPI assigned
Jan 27, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Shamel Colvard, NPNPI 1225806094
Title
Ceo
Phone
(312) 504-0144

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2405 Essington Rd Ste B1125
Joliet, IL 60435-1200

Mailing address

2405 Essington Rd Ste B1125
Joliet, IL 60435-1200

National Provider Directory

National Provider Directory

Locations

2405 Essington Rd
Ste B1125
Joliet, IL 60435
Phone (312) 504-0144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1396694782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 ESSINGTON RD STE B1125",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351200",
            "fax_number": "312-530-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 ESSINGTON RD STE B1125",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351200",
            "telephone_number": "312-504-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "COLVARD",
        "authorized_official_first_name": "SHAMEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-504-0144",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.