NPIMap

Organization Active NPI

L.K.C. Health and Wellness

  • Health Educator
  • Lynwood, IL
National Provider Identifier
1669069100
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
L.K.C. HEALTH AND WELLNESS
Practice address
19830 Lake Lynwood Dr
Lynwood, IL 60411-1472
Phone
(312) 203-6979
NPI assigned
Dec 30, 2020
Organization subpart
Yes
Parent organization
L.K.C. SPA SPECTACULAR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Lynette Mahone, MBANPI 1376130807
Title
Owner
Phone
(312) 203-6979

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
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

19830 Lake Lynwood Dr
Lynwood, IL 60411-1472

Mailing address

19830 Lake Lynwood Dr
Lynwood, IL 60411-1472

National Provider Directory

National Provider Directory
Part of
LKC Health and Wellness

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": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1669069100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19830 LAKE LYNWOOD DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19830 LAKE LYNWOOD DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111472",
            "telephone_number": "312-203-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.K.C. HEALTH AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "L.K.C. SPA SPECTACULAR LLC",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MAHONE",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-203-6979",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.