NPIMap

Organization Active NPI

Wellness Chicago Complementary Medical Centers

  • Clinic/Center
  • Oak Park, IL
National Provider Identifier
1508157348
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038-005791 Issued in IL
Legal business name
WELLNESS CHICAGO COMPLEMENTARY MEDICAL CENTERS
Practice address
1101 Lake St
Suite 350
Oak Park, IL 60301-1085
Phone
(312) 467-0678
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Nancy Dianne Dearinger, D.C.NPI 1629024518
Title
Medical Director
Phone
(312) 467-0678

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
Clinic/Center 261Q00000X 038-005791 IL Primary

Addresses

Primary practice location

1101 Lake St
Suite 350
Oak Park, IL 60301-1085

Mailing address

820 N Orleans St
Suite 345
Chicago, IL 60610-3132
Phone (312) 467-0678

Other identifiers 2

IdentifierTypeStateIssuer
038-005791OtherILILLINOIS LICENSE NUMBER
1629024518OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1101 Lake St
Ste 350
Oak Park, IL 60301
Phone (312) 467-0678

Practitioners & affiliated clinicians

Practitioners 3

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1508157348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST",
            "address_2": "SUITE 345",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103132",
            "telephone_number": "312-467-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "SUITE 350",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011085",
            "telephone_number": "312-467-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHICAGO COMPLEMENTARY MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DEARINGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-467-0678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038-005791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE NUMBER",
            "identifier": "038-005791",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629024518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.