Organization Active NPI

Wellness Partners, SC

  • Internal Medicine Physician
  • Libertyville, IL
National Provider Identifier
1801056759
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036103630 Issued in IL
Legal business name
WELLNESS PARTNERS, SC
Practice address
131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800
Phone
(847) 968-2800
Fax
(847) 968-2801
NPI assigned
Jun 13, 2008
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Rani Sharma, M.D.NPI 1033293493
Title
President
Phone
(847) 924-0279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036103630 IL Primary

Addresses

Primary practice location

131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800

Mailing address

131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800
Phone (847) 968-2800

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, 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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1801056759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E PARK AVE",
            "address_2": "SUITE # 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482800",
            "telephone_number": "847-968-2800",
            "fax_number": "847-968-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E PARK AVE",
            "address_2": "SUITE # 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482800",
            "telephone_number": "847-968-2800",
            "fax_number": "847-968-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PARTNERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-924-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.