Organization Active NPI

Ridgewellness Center

  • Clinic/Center
  • Wilmette, IL
National Provider Identifier
1447372248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
38004576 Issued in IL
Legal business name
RIDGEWELLNESS CENTER
Practice address
901 Ridge Rd
Wilmette, IL 60091-1559
Phone
(847) 256-9906
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Nicholas Collins, D.C.NPI 1487799581
Title
Owner
Phone
(847) 256-9906

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
Clinic/Center 261Q00000X 38004576 IL Primary

Addresses

Primary practice location

901 Ridge Rd
Wilmette, IL 60091-1559

Mailing address

901 Ridge Rd
Wilmette, IL 60091-1559
Phone (847) 256-9906

National Provider Directory

National Provider Directory

Locations

901 Ridge Rd
Wilmette, IL 60091
Phone (845) 251-6766

Practitioners & affiliated clinicians

Practitioners 3

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447372248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-256-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911559",
            "telephone_number": "847-256-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-256-9906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "38004576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.