For Your Health & Wellness

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036071610 Issued in IL

Legal business name

FOR YOUR HEALTH & WELLNESS

Practice address

401 W Ontario St
Suite 220
Chicago, IL 60654

Phone

(312) 255-1580

Fax

(312) 255-0783

NPI assigned

Dec 26, 2006

Last updated

Jul 17, 2015By 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

Dr. Jeffrey A Dugas Sr., MDNPI 1760566954

Title

President

Phone

(312) 255-1580

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jeffrey Alan Dugas Sr., MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1760566954
  Authorized official Same address or phone
• Danny Hiroshi Sugimoto, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1679661821
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1528123973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ONTARIO ST",
            "address_2": "SUITE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546957",
            "telephone_number": "312-255-1580",
            "fax_number": "312-255-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ONTARIO ST",
            "address_2": "SUITE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-255-1580",
            "fax_number": "312-255-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "DUGAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-255-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• For Eyes Optical of PA
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• For Eyes Optical of Pennsylvania (For Eyes)
• For Real Therapy Inc
• For Women, LTD
• Alyssa Vanparis Forand, MHS
• Kristen Michelle Forand
• Joanna Forberg, PA-C
• Erika Forbes, DMD
• Jessica Lynn Forbes, APRN

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.