Wellness Institute of Illinois, LTD.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

036-049364 Issued in IL

Legal business name

WELLNESS INSTITUTE OF ILLINOIS, LTD.

Practice address

741 S McHenry Ave Ste G
Crystal Lake, IL 60014-7445

Phone

(815) 477-8844

Fax

(815) 308-3387

NPI assigned

Jun 11, 2015

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence Lavine I, M.D.

Title

Medical Director

Phone

(815) 477-8844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1649651951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INSTITUTE OF ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-477-8844",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036-049364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Weise, P.T.
• Everett Lawrence Weiss, M.D.
• David Welch, LCPC
• Well-Rooted Pediatrics LLC
• Wellness Institute of Illinois, LTD
• Breanne Nichole Welty
• Todd F. Wenzon, D.D.S.
• Thomas D Weyburn Jr., D.O.
• Constance Renae White, MA
• Amy Whitenack, MS IN CLIN. COUNSELI

• Pain Clinic/Center in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.