Active NPI
Wellgroup Healthpartners LLC
- Urology Physician
- Chicago Heights, IL
National Provider Identifier
1699930701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 042001344
- Legal business name
- WELLGROUP HEALTHPARTNERS LLC
- Practice address
- 333 Dixie Hwy
Chicago Heights, IL 60411-1748 - Phone
- (708) 756-0100
- Fax
- (708) 709-6353
- NPI assigned
- Jul 29, 2008
- Last updated
- Jul 29, 2008
- 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
- Pat Sorrentino
- Title
- Supervisor
- Phone
- (708) 709-6396
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 042001344 | IL | |
| Dermatology Physician | 207N00000X | 042001344 | IL | |
| Family Medicine Physician | 207Q00000X | 042001344 | IL | |
| Internal Medicine Physician | 207R00000X | 042001344 | IL | |
| Nuclear Medicine Physician | 207U00000X | 042001344 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 042001344 | IL | |
| Ophthalmology Physician | 207W00000X | 042001344 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 042001344 | IL | |
| Otolaryngology Physician | 207Y00000X | 042001344 | IL | |
| Pediatrics Physician | 208000000X | 042001344 | IL | |
| Neurology Physician | 2084N0400X | 042001344 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 042001344 | IL | |
| Diagnostic Ultrasound Physician | 2085U0001X | 042001344 | IL | |
| Surgery Physician | 208600000X | 042001344 | IL | |
| Urology Physician | 208800000X | 042001344 | IL | Primary |
Addresses
Primary practice location
333 Dixie Hwy
Chicago Heights, IL 60411-1748
Mailing address
333 Dixie Hwy
Chicago Heights, IL 60411-1748
Phone (708) 756-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633874 | Other | IL | BLUE CROSS BLUE SHIELF OF ILL DME PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1699930701",
"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": "708-756-0100",
"fax_number": "708-709-6353"
},
{
"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": "708-756-0100",
"fax_number": "708-709-6353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLGROUP HEALTHPARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "SORRENTINO",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "708-709-6396"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "042001344",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "042001344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELF OF ILL DME PROVIDER NUMBER",
"identifier": "01633874",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.