Ketamine Wellness Centers Chicago

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KETAMINE WELLNESS CENTERS CHICAGO

Practice address

603 E Diehl Rd
Naperville, IL 60563-1452

Phone

(855) 538-9355

Fax

(844) 538-9355

NPI assigned

Jan 8, 2020

Last updated

Aug 15, 2022By 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

Anita D Jerger

Title

Executive Assistant

Phone

(855) 538-9355

Specialties & licenses 3

Addresses

Electronic endpoints 1

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.

• Mark Murphy, M.D.

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1033103601
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1508406588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E DIEHL RD STE 139",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634905",
            "telephone_number": "855-538-9355",
            "fax_number": "844-538-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E DIEHL RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631452",
            "telephone_number": "855-538-9355",
            "fax_number": "844-538-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE WELLNESS CENTERS CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "JERGER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "855-538-9355"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Naperville",
            "affiliation": "N",
            "address_1": "603 E Diehl Rd",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605631452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Kerasotes Kerfoot, MSOM, L. AC.
• Luciana Estela Kerkemeyer
• Christopher Brock Kessler, D.C.
• Rose Kessler, LCSW
• Kester Drugs Incorporated (Oswald's Pharmacy)
• Melissa Ketner, LSW
• Dipti N Kevat, DC
• Keven D Wells DDS PC (Living Well Dental Group)
• Kevin Eschmeyer, D.M.D., P.C.
• Kevin Knipp Couples and Family Therapy LTD.

• Anesthesiology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.