Organization Active NPI

Qodosh Naturals Health and Wellness

  • Nutrition Education Nutritionist
  • Chicago, IL
National Provider Identifier
1780266007
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
QODOSH NATURALS HEALTH AND WELLNESS
Doing business as
Qodosh Naturals Health and Wellness
Practice address
77 W Washington St Ste 1614
Chicago, IL 60602-3555
Phone
(779) 301-4523
NPI assigned
Apr 26, 2021
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
QODOSH NATURALS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Ms. Robin SalleeNPI 1255916243
Title
FMNP
Phone
(312) 214-7700

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
Nutrition Education Nutritionist 133NN1002X NU Primary

Addresses

Primary practice location

77 W Washington St Ste 1614
Chicago, IL 60602-3555

Mailing address

77 W Washington St Ste 1614
Chicago, IL 60602-3555

Other names 1

  • Qodosh Naturals Health and Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Qodosh Naturals Health and Wellness

Locations

77 W Washington St
Ste 1614
Chicago, IL 60602
Phone (779) 301-4523

Practitioners & affiliated clinicians

Practitioners 1

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1780266007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST STE 1614",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST STE 1614",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023555",
            "telephone_number": "779-301-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QODOSH NATURALS HEALTH AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QODOSH NATURALS INC",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "SALLEE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "FMNP",
        "authorized_official_telephone_number": "312-214-7700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qodosh Naturals Health and Wellness",
            "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 Apr 26, 2021; 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.