Organization Active NPI

Direct Care Wellness, LLC

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1699112102
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092369 Issued in IL
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

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Dr. Hal Stuart Stein, DCNPI 1871606624
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038-007974 IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.