Employee Health Advocate LTD
Organization Active NPI Community Health Clinic/Center · Wauconda, IL
NPI 1639128200 · NPPES record last updated Mar 21, 2008
Key facts
- NPI
- 1639128200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- EMPLOYEE HEALTH ADVOCATE LTD
- Practice address
- 26241 W Bonner Rd
Wauconda, IL 60084-3211 - Phone
- (847) 358-7468
- Fax
- (847) 358-2808
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Rasheed Soofi, MD
- Title
- Ceo
- Phone
- (847) 358-7468
Practitioners 8
-
Rasheed Soofi, MD
-
Coleen Gearhart, NP
-
Angela Marie Gray, PHARMD
-
George Lee Janasky, RPH
-
Michael James Joldersma, RPH.
-
Joseph Martines, LMT # 16869
-
Caralee Ann Schick, RPH
National Provider Directory
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Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | IL | Yes |
Addresses
Primary practice location
26241 W Bonner Rd
Wauconda, IL 60084-3211
Mailing address
PO Box 74
Fox River Grove, IL 60021-0074
Phone (847) 358-7468
NPI Registry JSON
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1639128200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74",
"city": "FOX RIVER GROVE",
"state": "IL",
"postal_code": "600210074",
"telephone_number": "847-358-7468",
"fax_number": "847-358-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26241 W BONNER RD",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600843211",
"telephone_number": "847-358-7468",
"fax_number": "847-358-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPLOYEE HEALTH ADVOCATE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "SOOFI",
"authorized_official_first_name": "RASHEED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-358-7468",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauconda, IL
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- Kerry J Ehlert-Donovan
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- Family Medicine Specialists, S.C.
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All providers in Wauconda, IL · Community Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.