Whole Womans Health of Peoria LLC

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

HF108540 Issued in IL

Legal business name

WHOLE WOMANS HEALTH OF PEORIA LLC

Practice address

7405 N University St
Suite D
Peoria, IL 61614-1212

Phone

(309) 332-1622

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Mary Jeanne Frank

Title

Director of Operations

Phone

(410) 790-7331

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1467837302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 N UNIVERSITY ST",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141212",
            "telephone_number": "309-332-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 N UNIVERSITY ST",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141212",
            "telephone_number": "309-332-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMANS HEALTH OF PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-790-7331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "IL",
            "license": "HF108540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Marie Whittemore, MA, LCPC
• John Patrick Whitten, MD
• Patrick E Whitten, M.D.
• John Whittington
• Whole Self Solutions
• Emily Marie Wichern, MD
• Nancy Widmer, CST
• Ladona Rae Wiebler, M.S.
• Owyn Wiegand
• Stephanie H Wieland, APN

• Ambulatory Family Planning Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Ambulatory Family Planning Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.