NPIMap

Organization Active NPI

Mercy Medical & Weight Loss Center, Inc.

  • Family Medicine Physician
  • Kankakee, IL
National Provider Identifier
1568739167
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY MEDICAL & WEIGHT LOSS CENTER, INC.
Practice address
187 S Schuyler Ave
Suite 100
Kankakee, IL 60901-3831
Phone
(815) 401-5757
NPI assigned
Nov 27, 2011
Last updated
Nov 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jovita Anyanwu, M.D.
Title
Owner
Phone
(815) 401-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

187 S Schuyler Ave
Suite 100
Kankakee, IL 60901-3831

Mailing address

187 S Schuyler Ave
Suite 100
Kankakee, IL 60901-3831
Phone (815) 401-5757

National Provider Directory

National Provider Directory

Locations

187 S Schuyler Ave
Ste 100
Kankakee, IL 60901
Phone (815) 401-5757

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1568739167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S SCHUYLER AVE",
            "address_2": "SUITE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013831",
            "telephone_number": "815-401-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S SCHUYLER AVE",
            "address_2": "SUITE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013831",
            "telephone_number": "815-401-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL & WEIGHT LOSS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "JOVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-401-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.