Bella Family Health and Wellness, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

248.000561 Issued in IL

Legal business name

BELLA FAMILY HEALTH AND WELLNESS, LLC

Practice address

100 Deerpath
Charleston, IL 61920-9427

Phone

(217) 345-4325

NPI assigned

Oct 2, 2012

Last updated

Oct 2, 2012By 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

Miss Jennifer Marie Wenzel

Title

General Manager

Phone

(217) 355-8346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1558613489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 GALEN DR",
            "address_2": "SUITE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217045",
            "telephone_number": "217-355-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEERPATH",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619209427",
            "telephone_number": "217-345-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA FAMILY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "217-355-8346",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "248.000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Baker, RN
• Sheila Denise Baker, M.D.
• Penny M Barnes, MA, CCC-A
• Makenzie Barr, MS
• Chelsea Bell
• Michael Benson, D.O.
• Allison Bertrand
• Mindy Lynn Beurskens
• Alexis Dawn Black
• Katherine Ruth Blesch, PA-C

• Family Medicine Physician in Charleston, IL
• Providers in Charleston, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.