Integrative Health and Wellness Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009021 Issued in IL

Legal business name

INTEGRATIVE HEALTH AND WELLNESS INC

Practice address

4931 S Route 59
121
Naperville, IL 60564-5705

Phone

(630) 355-8022

Fax

(630) 355-8032

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer L Wise, D.C.

Title

Owner

Phone

(630) 355-8022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1457622649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S ROUTE 59",
            "address_2": "121",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645705",
            "telephone_number": "630-355-8022",
            "fax_number": "630-355-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S ROUTE 59",
            "address_2": "121",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645705",
            "telephone_number": "630-355-8022",
            "fax_number": "630-355-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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