Wellness Restoration Centers of Illinois, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

WELLNESS RESTORATION CENTERS OF ILLINOIS, LLC

Practice address

700A S Illinois St
Belleville, IL 62220-2142

Phone

(618) 277-6300

Fax

(618) 277-6302

NPI assigned

Feb 2, 2010

Organization subpart

Yes

Parent organization

VAN NESS ENTREPRISES, LLPAs reported in NPPES

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

Authorized official

Name

Randee P Van Ness, MS

Title

Ceo

Phone

(719) 651-5102

Specialties & licenses 1

Addresses

Part of

Vanness Enterprises LLC

Locations

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1659603611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700A S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202142",
            "telephone_number": "618-277-6300",
            "fax_number": "618-277-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700A S ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202142",
            "telephone_number": "618-277-6300",
            "fax_number": "618-277-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATION CENTERS OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN NESS ENTREPRISES, LLP",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-651-5102",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Weber
• Maxwell Ian Weiler, PHARM.D.
• Aaron Matthew Weiss, RN
• Ronald George Welch, M.D.
• Wellness Interventional Needs & Education LLC
• Wellnessone of Belleville, LLC
• Wellnessone of East Belleville, LLC
• Torrey M Welsch, PT
• Beth Welsh
• Marcia Lynn Wendland, MD

• Nutritionist in Belleville, IL
• Providers in Belleville, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.