NPIMap

Organization Active NPI

Wellness Institute of Illinois, LTD

  • Non-Pharmacy Dispensing Site
  • Schaumburg, IL
National Provider Identifier
1710426796
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
WELLNESS INSTITUTE OF ILLINOIS, LTD
Practice address
110 Hillcrest Blvd Suite 102
Schaumburg, IL 60195
Phone
(815) 477-8844
Fax
(815) 308-3387
NPI assigned
Feb 23, 2017
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Mr. Lawrence Lavine
Title
Owner
Phone
(815) 477-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

110 Hillcrest Blvd Suite 102
Schaumburg, IL 60195

Mailing address

110 Hillcrest Blvd Suite 102
Schaumburg, IL 60195
Phone (815) 477-8844

National Provider Directory

National Provider Directory
Tax ID family
Wellness Institute of Illinois LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1710426796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLCREST BLVD SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60195",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLCREST BLVD SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60195",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INSTITUTE OF ILLINOIS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-477-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.