Organization Active NPI

Willis Health Agency Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1619612165
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILLIS HEALTH AGENCY INC.
Practice address
1448 N Milwaukee Ave Ste 202
Chicago, IL 60622-6412
Phone
(708) 462-4288
NPI assigned
Apr 29, 2022
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Stephanie WillisNPI 1982871414
Title
Owner/President
Phone
(312) 480-1656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1448 N Milwaukee Ave Ste 202
Chicago, IL 60622-6412

Mailing address

1448 N Milwaukee Ave Ste 202
Chicago, IL 60622-6412

National Provider Directory

National Provider Directory

Locations

1448 N Milwaukee Ave
Ste 202
Chicago, IL 60622
Phone (708) 462-4288

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1619612165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226412",
            "telephone_number": "708-462-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-480-1656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 Apr 29, 2022; 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.