Active NPI
Life to the Fullest LLC
- Community/Behavioral Health Agency
- Oak Brook, IL
National Provider Identifier
1861750341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE TO THE FULLEST LLC
- Practice address
- 2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234 - Phone
- (630) 537-0124
- NPI assigned
- May 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karin Madsen, PSY.D
- Title
- Owner/Therapist
- Phone
- (630) 537-0124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Mailing address
2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Phone (630) 537-0124
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335916800000",
"number": "1861750341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "SUITE 138S",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-537-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "SUITE 138S",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-537-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TO THE FULLEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A",
"authorized_official_last_name": "MADSEN",
"authorized_official_first_name": "KARIN",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "630-537-0124",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.