Organization Active NPI

Women'S Health and Wellness, LLC

  • Gynecology Physician
  • Joliet, IL
National Provider Identifier
1770907289
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
036.130543 Issued in IL
Legal business name
WOMEN'S HEALTH AND WELLNESS, LLC
Practice address
301 Madison St
Suite 120
Joliet, IL 60435-6549
Phone
(815) 773-7469
Fax
(815) 773-7470
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Tiffany Wilson
Title
Physician
Phone
(815) 773-7469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 036.130543 IL Primary

Addresses

Primary practice location

301 Madison St
Suite 120
Joliet, IL 60435-6549

Mailing address

301 Madison St
Suite 120
Joliet, IL 60435-6549
Phone (815) 773-7469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1770907289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MADISON ST",
            "address_2": "SUITE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-773-7469",
            "fax_number": "815-773-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST",
            "address_2": "SUITE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-773-7469",
            "fax_number": "815-773-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-773-7469",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036.130543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.