Wellness Integrative Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036103914 Issued in IL

Legal business name

WELLNESS INTEGRATIVE MEDICINE INC

Practice address

3330 W 177TH St
Suite 2G
Hazel Crest, IL 60429-2184

Phone

(708) 539-4569

NPI assigned

Jul 28, 2013

Last updated

Jul 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rushia Butler Butler, M.D.NPI 1376582072

Title

Physician

Phone

(708) 539-4569

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rushia Butler, M.D.

  • Family Medicine Physician
  • Towson, MD
  • NPI 1376582072
  NPD Authorized official

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374969600000",
    "number": "1497197719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2G",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-539-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "SUITE 2G",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-539-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INTEGRATIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-28",
        "last_updated": "2013-07-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "RUSHIA",
        "authorized_official_middle_name": "BUTLER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-539-4569",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rose Watson-Montgomery, DDS
• Jean M Watson
• Leroy Nmi Weathersby II, DDS
• Rosemare Webb
• Jeremy Carter Welch, P.T.A.
• Matthew Paul Wendell, MA-CCC-SLP/L
• Ruth L. West, FNP-BC
• Lorez White-Banks, LCSW
• David Wilk, MD
• Iris L Williams, LCSW

• Family Medicine Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.