Organization Active NPI

Complete Wellness Medical Center of Sterling SC

  • Legal Medicine
  • Sterling, IL
National Provider Identifier
1477549236
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
042616717 Issued in IL
Legal business name
COMPLETE WELLNESS MEDICAL CENTER OF STERLING SC
Practice address
2522 E Lincolnway
Suite G
Sterling, IL 61081-3058
Phone
(815) 626-6630
Fax
(815) 626-6796
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Thomas D. Finney, DCNPI 1184610883
Title
President
Phone
(815) 626-6630

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
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 042616717 IL Primary

Addresses

Primary practice location

2522 E Lincolnway
Suite G
Sterling, IL 61081-3058

Mailing address

2522 E Lincolnway
Sterling, IL 61081-3058
Phone (815) 626-6630

Other identifiers 1

IdentifierTypeStateIssuer
09821954OtherILBCBS

National Provider Directory

National Provider Directory

Locations

101 W 2nd St
Ste 150
Dixon, IL 61021
Phone (815) 288-7911

2522 E Lincolnway
Sterling, IL 61081

110 E Lynn Blvd
Sterling, IL 61081
Phone (815) 242-2271

Practitioners & affiliated clinicians

Practitioners 4

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1477549236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 E LINCOLNWAY",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813058",
            "telephone_number": "815-626-6630",
            "fax_number": "815-626-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 E LINCOLNWAY",
            "address_2": "SUITE G",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813058",
            "telephone_number": "815-626-6630",
            "fax_number": "815-626-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS MEDICAL CENTER OF STERLING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-626-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "042616717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09821954",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.