Active NPI
Wilkes Wellness Services LLC
- Case Management Agency
- Chicago, IL
National Provider Identifier
1487050993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- WILKES WELLNESS SERVICES LLC
- Practice address
- 8829 S State St
Chicago, IL 60619-6609 - Phone
- (773) 437-7816
- NPI assigned
- Nov 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Wilkes, FNP
- Title
- Ceo
- Phone
- (773) 437-7816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
8829 S State St
Chicago, IL 60619-6609
Mailing address
8829 S State St
Chicago, IL 60619-6609
Phone (773) 437-7816
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Schaumburg, IL
- NPI 1336555150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439510400000",
"number": "1487050993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8829 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196609",
"telephone_number": "773-437-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8829 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196609",
"telephone_number": "773-437-7816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKES WELLNESS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-10",
"last_updated": "2015-08-14",
"status": "A",
"authorized_official_last_name": "WILKES",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-437-7816",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.