Wholebody Visiting Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WHOLEBODY VISITING PHYSICIANS

Practice address

17 E Grandview Dr
South Holland, IL 60473-1099

Phone

(708) 439-5003

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Grace Nwaka Wabonmor

Title

President

Phone

(708) 439-5003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Nwaka Wabomnor, ANP

  • Adult Health Nurse Practitioner
  • South Holland, IL
  • NPI 1548725799
  Medicare reassignment NPD

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1851927446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 N LINCOLN AVE STE 15",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121766",
            "telephone_number": "855-346-1681",
            "fax_number": "224-251-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E GRANDVIEW DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731099",
            "telephone_number": "708-439-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEBODY VISITING PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "WABONMOR",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "NWAKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-439-5003"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell A Wheeler, M.D.
• Johnny White, LCSW
• Jonathan Ethan White, COTA
• Chrystal Whitfield
• Roshann Whitfield, HAIR LOSS SPECIALIST
• Jennifer Wikel, M.A. CCC-SLP
• Deenaa Williams, COTA
• E'Toyare P Williams, PH.D
• Keith Williams, M.D.
• Lonnie Lee Williams, OD

• Family Medicine Physician in South Holland, IL
• Providers in South Holland, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.