Active NPI
Workforce Wellness and Compliance Solutions LLC
- Occupational Medicine Physician
- Dixon, IL
National Provider Identifier
1427882059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- WORKFORCE WELLNESS AND COMPLIANCE SOLUTIONS LLC
- Practice address
- 201 Lincoln Statue Dr
Dixon, IL 61021-2000 - Phone
- (815) 677-0674
- Fax
- (815) 422-3034
- NPI assigned
- Aug 27, 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
- Kelly A Hildebrand
- Title
- Owner/Ceo
- Phone
- (815) 677-0674
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Optician | 156FX1800X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| Occupational Medicine Physician | 2083X0100X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Occupational Health Nurse Practitioner | 363LX0106X |
Addresses
Primary practice location
201 Lincoln Statue Dr
Dixon, IL 61021-2000
Mailing address
201 Lincoln Statue Dr
Dixon, IL 61021-2000
Phone (815) 677-0674
Other practice location 1
2900 Locust St
Sterling, IL 61081-9501
Phone (815) 548-8203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073138467 | Medicaid | IL | |
| 1649248204 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
201 Lincoln Statue Dr
Dixon, IL 61021
Phone (815) 284-1700
2900 Locust St
Sterling, IL 61081
Phone (815) 548-8203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736467200000",
"number": "1427882059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LINCOLN STATUE DR",
"city": "DIXON",
"state": "IL",
"postal_code": "610212000",
"telephone_number": "815-677-0674",
"fax_number": "815-422-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LINCOLN STATUE DR",
"city": "DIXON",
"state": "IL",
"postal_code": "610212000",
"telephone_number": "815-677-0674",
"fax_number": "815-422-3034"
}
],
"practiceLocations": [
{
"address_1": "2900 Locust St",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "IL",
"postal_code": "610819501",
"country_code": "US",
"telephone_number": "815-548-8203",
"fax_number": "815-425-9369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WORKFORCE WELLNESS AND COMPLIANCE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A",
"authorized_official_last_name": "HILDEBRAND",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "815-677-0674"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Occupational Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073138467",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649248204",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.