Functional Medical Wellness Center , LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

364185349 Issued in IL

Legal business name

FUNCTIONAL MEDICAL WELLNESS CENTER , LLC

Practice address

3100 Dundee Rd Suite 506
Northbrook, IL 60062-2402

Phone

(847) 562-0840

Fax

(847) 562-0842

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nadeem Akhter, M.D.NPI 1235176074

Title

President

Phone

(847) 562-0840

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nadeem Akhter, M.D.

  • Internal Medicine Physician
  • Northbrook, IL
  • NPI 1235176074
  NPD Authorized official
• Hal Stein, FNP-C, D.C.

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1871606624
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1396832895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 506",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622449",
            "telephone_number": "847-562-0840",
            "fax_number": "847-562-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD SUITE 506",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622402",
            "telephone_number": "847-562-0840",
            "fax_number": "847-562-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICAL WELLNESS CENTER , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "AKHTER",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-562-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "364185349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Fritzsche
• Emma E Frye-Wasi
• Fuel Physical Therapy and Wellness
• Full Life Rejuvenation
• Lauren Fulton, LCSW
• Anna Katerina Funk
• Joan Eileen Funk, PSY.D.
• Elizabeth Fyfe, M.S. CCC-SLP
• Gaf/Lake Cook Terrace
• Joel Galiotto

• Internal Medicine Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.