Active NPI
Riverwoods Health and Wellness Center
- Family Medicine Physician
- Riverwoods, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RIVERWOODS HEALTH AND WELLNESS CENTER
- Practice address
- 1105 Milwaukee Ave
Riverwoods, IL 60015-3512 - Phone
- (847) 325-5110
- NPI assigned
- Jan 27, 2009
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom Klein, M.D.
- Title
- Medical Director
- Phone
- (847) 325-5110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
1105 Milwaukee Ave
Riverwoods, IL 60015-3512
Mailing address
1105 Milwaukee Ave
Riverwoods, IL 60015-3512
Phone (847) 325-5110
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2077715 | Riverwoods Health and Wellness | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Riverwoods, IL
- NPI 1326094194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1659519833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MILWAUKEE AVE",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600153512",
"telephone_number": "847-325-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MILWAUKEE AVE",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600153512",
"telephone_number": "847-325-5110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERWOODS HEALTH AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-325-5110",
"authorized_official_name_prefix": "Dr.",
"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 Riverwoods, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.