Active NPI
Direct Care Wellness, LLC
- Internal Medicine Physician
- Northbrook, IL
National Provider Identifier
1699112102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036092369
- Legal business name
- DIRECT CARE WELLNESS, LLC
- Practice address
- 3100 Dundee Rd
Suite 504
Northbrook, IL 60062-2437 - Phone
- (847) 562-0840
- Fax
- (847) 562-0842
- NPI assigned
- May 24, 2013
- 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. Hal Stuart Stein, DC
- Title
- President
- Phone
- (847) 562-0840
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007974 | IL | |
| Internal Medicine Physician | 207R00000X | 036092369 | IL | Primary |
Addresses
Primary practice location
3100 Dundee Rd
Suite 504
Northbrook, IL 60062-2437
Mailing address
3100 Dundee Rd
Suite 504
Northbrook, IL 60062-2437
Phone (847) 562-0840
National Provider Directory
National Provider DirectoryLocations
3100 Dundee Rd
Ste 504
Northbrook, IL 60062
Phone (847) 562-0840
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": "1369353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388102400000",
"number": "1699112102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD",
"address_2": "SUITE 504",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622437",
"telephone_number": "847-562-0840",
"fax_number": "847-562-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD",
"address_2": "SUITE 504",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622437",
"telephone_number": "847-562-0840",
"fax_number": "847-562-0842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT CARE WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-24",
"last_updated": "2013-12-27",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "HAL",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-562-0840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007974",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036092369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.