Wnucare

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

302R00000X Issued in IL

Legal business name

WNUCARE

Practice address

301 East Broadway
Alton, IL 62002-5280

Phone

(618) 470-4236

Fax

(618) 433-9090

NPI assigned

Aug 20, 2010

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

Ms. Julia Lynn Phillips, DTR

Title

Dietetic Technition Registered Nutr

Phone

(618) 410-4236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Doing business as

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1740596394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 APT A ALTON POINT CIRCLE DRIVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025280",
            "telephone_number": "618-410-4236",
            "fax_number": "161-833-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025280",
            "telephone_number": "618-470-4236",
            "fax_number": "618-433-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNUCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIETETIC TECHNITION REGISTERED NUTR",
        "authorized_official_telephone_number": "618-410-4236",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DTR"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5533PHIL",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Wirtz, D.M.D
• Mary Wiseman
• Zachary Joesph Witges, AGNP
• Wittman Chriopractic Group
• Blake Wittman, DPT
• Alexandria Nicole Wold, DDS
• Scott Michael Wolter, D.M.D
• Alberto Wong
• Lisa Wood
• Savannah M Wood, MSW,LSW

• Health Maintenance Organization in Alton, IL
• Providers in Alton, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.