Organization Active NPI

Pearls of Veda Medical and Holistic

Doing business as Pearls of Veda Integrative Wellness Practice, LLC

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1730823162
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PEARLS OF VEDA MEDICAL AND HOLISTIC
Doing business as
Pearls of Veda Integrative Wellness Practice, LLC
Veda Health & Wellness Services, LLC
Practice address
433 W 95TH St
Chicago, IL 60628-1155
Phone
(708) 879-3043
Fax
(708) 719-2922
NPI assigned
Apr 22, 2022
Last updated
Feb 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PEARLS OF VEDA MEDICAL AND HOLISTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Authorized official

Name
Dr. Avida Nubian BussellNPI 1235360165
Title
Clinician/Owner
Phone
(708) 879-3043

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Health Service Clinic/Center 261QH0100X NU
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU Primary
Integrative Medicine Physician 202D00000X NU
Obesity Medicine (Preventive Medicine) Physician 2083B0002X NU

Addresses

Primary practice location

433 W 95TH St
Chicago, IL 60628-1155

Mailing address

433 W 95TH St
Chicago, IL 60628-1155
Phone (773) 981-8609

Other names 2

  • Pearls of Veda Integrative Wellness Practice, LLC Doing business as
  • Veda Health & Wellness Services, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210003521 IL Part B Supplier - Clinic/Group Practice 2860971728 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Part of
Pearls of Veda Medical and Holistic

Locations

433 W 95th St
Chicago, IL 60628
Phone (312) 488-0040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771113600000",
    "number": "1730823162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281155",
            "telephone_number": "773-981-8609",
            "fax_number": "708-719-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281155",
            "telephone_number": "708-879-3043",
            "fax_number": "708-719-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF VEDA MEDICAL AND HOLISTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEARLS OF VEDA MEDICAL AND HOLISTIC",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A",
        "authorized_official_last_name": "BUSSELL",
        "authorized_official_first_name": "AVIDA",
        "authorized_official_middle_name": "NUBIAN",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "708-879-3043",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearls of Veda Integrative Wellness Practice, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Veda Health & Wellness Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.