Organization Active NPI

Well Spring Family Physicians, LLC

  • Family Medicine Physician
  • Batavia, IL
National Provider Identifier
1639248883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELL SPRING FAMILY PHYSICIANS, LLC
Practice address
1049 E Wilson St
Suite 160 B
Batavia, IL 60510-2474
Phone
(630) 232-2766
Fax
(630) 232-2099
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ebrahim Amani, M.D.NPI 1386615904
Title
Doctor
Phone
(630) 232-2766

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
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

1049 E Wilson St
Suite 160 B
Batavia, IL 60510-2474

Mailing address

1049 E Wilson St
Suite 160 B
Batavia, IL 60510-2474
Phone (630) 232-2766

National Provider Directory

National Provider Directory

Locations

1049 E Wilson St
Ste 160B
Batavia, IL 60510
Phone (630) 232-2776

Practitioners & affiliated clinicians

Practitioners 2

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639248883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST",
            "address_2": "SUITE 160 B",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102474",
            "telephone_number": "630-232-2766",
            "fax_number": "630-232-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST",
            "address_2": "SUITE 160 B",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102474",
            "telephone_number": "630-232-2766",
            "fax_number": "630-232-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPRING FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMANI",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-232-2766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.