Organization Active NPI

Pringlow Health and Wellness

  • Primary Care Clinic/Center
  • Mokena, IL
National Provider Identifier
1790497758
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRINGLOW HEALTH AND WELLNESS
Practice address
11341 Hummingbird LN
Mokena, IL 60448-9248
Phone
(773) 676-4076
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Glory IkerodahNPI 1932675006
Title
Founder
Phone
(733) 676-4076

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11341 Hummingbird LN
Mokena, IL 60448-9248

Mailing address

11341 Hummingbird LN
Mokena, IL 60448-9248
Phone (773) 676-4076

National Provider Directory

National Provider Directory

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": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1790497758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 HUMMINGBIRD LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489248",
            "telephone_number": "773-676-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11341 HUMMINGBIRD LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489248",
            "telephone_number": "773-676-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINGLOW HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "IKERODAH",
        "authorized_official_first_name": "GLORY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "733-676-4076"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.