Advanced Wellness Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED WELLNESS MEDICAL, LLC

Practice address

6325 Main Street
Suite 120
Woodridge, IL 60517

Phone

(630) 541-6773

NPI assigned

Dec 18, 2014

Last updated

Apr 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emmy Wang, D.C.NPI 1922246974

Title

Owner/D.C

Phone

(630) 542-2598

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Emmy Xiaotian Wang, DC

  • Chiropractor
  • Naperville, IL
  • NPI 1922246974
  Medicare reassignment Care Compare group NPD Authorized official
• Neha Bodiwala, APN

  • Family Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1336684547
  Medicare reassignment Care Compare group NPD
• Patricia Martin, PT

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1841335056
  Medicare reassignment Care Compare group NPD
• Mark Ron Ibe Sr., MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Woodridge, IL
  • NPI 1528520665
  Medicare reassignment NPD
• Robert Yee, MD

  • Physical Medicine & Rehabilitation Physician
  • Shorewood, IL
  • NPI 1487720579
  Medicare reassignment NPD
• Aaron Zirk, D.O.

  • Emergency Medicine Physician
  • Naperville, IL
  • NPI 1386917268
  Medicare reassignment NPD
• Mera Hashwani, PT, DPT

  • Physical Therapist
  • San Jacinto, CA
  • NPI 1083120489
  NPD

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1831597194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 HOBSON RD.",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-542-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MAIN STREET",
            "address_2": "SUITE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "60517",
            "telephone_number": "630-541-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "OWNER/D.C",
        "authorized_official_telephone_number": "630-542-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adventist Health Partners, Inc (Advanced Midwest Women's HealthCare)
• Adventist Health Partners, Inc. (West Suburban Allergy and Asthma)
• Adventist Health Partners,Inc (Family Medicine Center)
• Adventist Midwest Health (Uchicago Medicine Adventhealth Imaging Woodridge)
• Karen Loretta Agnich, D.P.M.

• General Practice Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.