Wellness Associates S C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36052094 Issued in IL

Legal business name

WELLNESS ASSOCIATES S C

Practice address

2150 Pfingsten Rd
Suite 2250
Glenview, IL 60026-1361

Phone

(847) 729-2320

NPI assigned

May 23, 2007

Last updated

Nov 3, 2009By 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. Thomas R Sultan, M DNPI 1306958798

Title

President of Practice

Phone

(847) 729-2320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Thomas Roger Sultan, MD

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1306958798
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1861602377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-729-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-729-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OF PRACTICE",
        "authorized_official_telephone_number": "847-729-2320",
        "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": "36052094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Welch, OTR/L
• Linda Given Welch, CNM, MS
• Matthew Christian Welge, MPT
• Herschel Myron Weller, MD
• Miriam M. Weller, O.D.
• Guadalupe Wells, OTA
• Kevin Wells
• Vanessa A Wells, PSYD
• Barbara Wendt
• Jessica Wenk, MSW, LCSW

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.