Active NPI
Apex Wellness LLC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1548033426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- APEX WELLNESS LLC
- Practice address
- 1370 W Walton St Apt 1W
Chicago, IL 60642-5627 - Phone
- (312) 339-5010
- NPI assigned
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Ballard
- Title
- Coo
- Phone
- (312) 999-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1370 W Walton St Apt 1W
Chicago, IL 60642-5627
Mailing address
1370 W Walton St Apt 1W
Chicago, IL 60642-5627
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1548033426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 W WALTON ST APT 1W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606425627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 W WALTON ST APT 1W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606425627",
"telephone_number": "312-339-5010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "312-999-9999"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.