Globe Fitness and Bodywork, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036123466 Issued in IL

Legal business name

GLOBE FITNESS AND BODYWORK, LLC

Doing business as

The Holistic BodyLab

Practice address

7353 Lake St
River Forest, IL 60305-2214

Phone

(312) 307-4458

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Kevin Gill

Title

Owner

Phone

(312) 307-4458

Specialties & licenses 1

Addresses

Other names 1

• The Holistic BodyLab Doing business as

Locations

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1508209867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052214",
            "telephone_number": "312-307-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052214",
            "telephone_number": "312-307-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBE FITNESS AND BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-307-4458"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036123466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Holistic BodyLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conar Gillard, BA
• Hope Gledhill
• Rachel Glick, LMHC
• Global Facial Aesthetics PC
• Global Mobile Lab, LLC
• Lynn Goh
• Nikko D Gonzales-Silva
• Shaden Gonzalez, MA, LPC
• Ashley Graves, MSW, LSW, LCSW
• Henry Guralnick, M.D.

• Geriatric Medicine (Internal Medicine) Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.