NPIMap

Organization Active NPI

Whole Life Center Inc

  • Family Medicine Physician
  • La Grange Park, IL
National Provider Identifier
1659657252
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036089752 Issued in IL
Legal business name
WHOLE LIFE CENTER INC
Practice address
48 E 31St St
La Grange Park, IL 60526-1024
Phone
(708) 352-7212
Fax
(708) 352-7228
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Lorene Y. Wu, M.D.NPI 1114075462
Title
Director
Phone
(708) 352-7212

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036089752 IL Primary

Addresses

Primary practice location

48 E 31St St
La Grange Park, IL 60526-1024

Mailing address

48 E 31St St
La Grange Park, IL 60526-1024
Phone (708) 352-7212

National Provider Directory

National Provider Directory

Locations

48 E 31st St
La Grange Pk, IL 60526
Phone (708) 352-6811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1659657252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 E 31ST ST",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261024",
            "telephone_number": "708-352-7212",
            "fax_number": "708-352-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E 31ST ST",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261024",
            "telephone_number": "708-352-7212",
            "fax_number": "708-352-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "LORENE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-352-7212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.