Wellgroup Healthpartners LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002769 Issued in IL

Legal business name

WELLGROUP HEALTHPARTNERS LLC

Practice address

333 Dixie Hwy
Chicago Heights, IL 60411-1748

Phone

(708) 754-4890

Fax

(708) 709-6242

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Authorized official

Name

Daniel McCormick

Title

Ceo

Phone

(708) 756-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Surgicare Center Doing business as

Locations

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699739896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111748",
            "telephone_number": "708-754-4890",
            "fax_number": "708-709-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111748",
            "telephone_number": "708-754-4890",
            "fax_number": "708-709-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLGROUP HEALTHPARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-756-0100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE ID NUMBER",
            "identifier": "7002769",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elmer L Washington, M.D.
• Shaureaye Washington, RBT
• Tarlyn Nicole Waters
• Helen M Watson-Lewis
• Richard O Watson, MD
• Wellgroup Healthpartners LLC
• Danielle Nichole Werner
• Khalisha Wesley, LCSW
• Karen Wexler
• Diane White

• All providers in Chicago Heights, IL
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.