Organization Active NPI

Unfragmented Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1730997669
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
UNFRAGMENTED WELLNESS LLC
Practice address
332 S Michigan Ave Ste 121
Chicago, IL 60604-4302
Phone
(312) 278-3885
Fax
(312) 910-7496
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Sol EstradaNPI 1457055451
Title
Owner
Phone
(312) 278-3885

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

332 S Michigan Ave Ste 121
Chicago, IL 60604-4302

Mailing address

332 S Michigan Ave Ste 121
Chicago, IL 60604-4302
Phone (312) 278-3885

National Provider Directory

National Provider Directory

Locations

332 S Michigan Ave
Ste 201
Chicago, IL 60604

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1730997669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "312-278-3885",
            "fax_number": "312-910-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "312-278-3885",
            "fax_number": "312-910-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNFRAGMENTED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-278-3885"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 10, 2025; 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.