NPIMap

Organization Active NPI

Fulfill Health

  • Psychiatry Physician
  • Warrenville, IL
National Provider Identifier
1619647039
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FULFILL HEALTH
Practice address
4580 Weaver Pkwy Ste 102
Warrenville, IL 60555-3864
Phone
(630) 839-9199
Fax
(630) 839-9299
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Ms. Barbara Ryniec
Title
Owner
Phone
(630) 699-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4580 Weaver Pkwy Ste 102
Warrenville, IL 60555-3864

Mailing address

3S440 Herrick Rd
Warrenville, IL 60555-3119
Phone (630) 699-5278

National Provider Directory

National Provider Directory

Locations

1 Transam Plaza Dr
Ste 220
Oakbrook Terrace, IL 60181
Phone (630) 839-9199

4580 Weaver Pkwy
Ste 102
Warrenville, IL 60555
Phone (630) 839-9199

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1619647039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S440 HERRICK RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553119",
            "telephone_number": "630-699-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 WEAVER PKWY STE 102",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553864",
            "telephone_number": "630-839-9199",
            "fax_number": "630-839-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "RYNIEC",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-699-5278",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.