Organization Active NPI

Comprehensive Wellness Care LLC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1427361344
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPREHENSIVE WELLNESS CARE LLC
Practice address
2825 N Halsted St
Chicago, IL 60657-5105
Phone
(773) 549-8900
Fax
(773) 549-8511
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Teresa Hubka, DONPI 1659354140
Title
Physician
Phone
(773) 549-8900

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2825 N Halsted St
Chicago, IL 60657-5105

Mailing address

2825 N Halsted St
Chicago, IL 60657-5105
Phone (773) 549-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000085 IL Part B Supplier - Clinic/Group Practice 2062681414 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3152 N Lincoln Ave
Chicago, IL 60657
Phone (773) 549-8900

Practitioners & affiliated clinicians

Practitioners 2

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": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1427361344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-549-8900",
            "fax_number": "773-549-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-549-8900",
            "fax_number": "773-549-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "HUBKA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-549-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.