CHS Illinois Medical, S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHS ILLINOIS MEDICAL, S.C.

Doing business as

Choose Health Wellness Center

Practice address

4 Overlook PT
40A-LL-WC
Lincolnshire, IL 60069-4302

Phone

(847) 613-4654

NPI assigned

Dec 5, 2008

Organization subpart

Yes

Parent organization

CHS HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Stuart Clark

Title

Executive V.P.

Phone

(615) 577-4927

Specialties & licenses 1

Addresses

Other names 1

• Choose Health Wellness Center Doing business as

Part of

Google Wellness Center 321

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Elizabeth Jordan, ANP-C

  • Nurse Practitioner
  • Springfield, MO
  • NPI 1720125891
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1477798478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OVERLOOK PT",
            "address_2": "40A-LL-WC",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694302",
            "telephone_number": "847-613-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS ILLINOIS MEDICAL, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2008-12-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE V.P.",
        "authorized_official_telephone_number": "615-577-4927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choose Health Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Halden Chen, PHARM.D.
• Children's Oral Care Only, P.C.
• Thomas James Chilis, M.D.
• Teresa M Chirayil, MD
• Me-Kyoung Choi
• Antonio A Chua Lee, M.D.
• Diane L Cinnick, LCPC, CADC
• Julie Clifton, MOT, OTR/L
• Kelly R Coaty, ATC
• Brianna Cole, M.S., CCC-SLP

• General Practice Physician in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.