Evoke Wellness at Chicago

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVOKE WELLNESS AT CHICAGO

Practice address

1401 E Oakton St Ste 14
Des Plaines, IL 60018-2171

Phone

(954) 993-2040

Fax

(954) 990-6305

NPI assigned

Sep 7, 2023

Last updated

Nov 3, 2023By 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

Sherita Chang, MS

Title

Cro

Phone

(954) 993-2040

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1518743152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 606B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256016",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E OAKTON ST STE 14",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182171",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE WELLNESS AT CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "954-993-2040",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Escarpita, OTD, OTR/L
• Nancy A Eschbach, LCSW
• Jessica Escobedo
• Veronica Espinoza
• Raymund Espiritu, OTR/L
• Erin Elizabeth Fabbri
• Pamela Fagen, REGISTERED DIETITIAN
• Fahey Medical Center
• Fahey Medical Center S.C.
• Umniyah R Faisal, RBT

• Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.