NPIMap

Organization Active NPI

Ag Wellness Group LLC

  • Massage Therapist
  • Palatine, IL
National Provider Identifier
1457646200
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AG WELLNESS GROUP LLC
Practice address
395 W Northwest Hwy
Palatine, IL 60067-8650
Phone
(847) 963-1600
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dave Ablin
Title
Owner
Phone
(847) 963-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

395 W Northwest Hwy
Palatine, IL 60067-8650

Mailing address

395 W Northwest Hwy
Palatine, IL 60067-8650

National Provider Directory

National Provider Directory

Locations

395 W Northwest Hwy
Palatine, IL 60067
Phone (847) 963-1600

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1457646200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678650",
            "telephone_number": "847-963-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ABLIN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-963-1600"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.