White Oak Institute for Growth and Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180010741 Issued in IL

Legal business name

WHITE OAK INSTITUTE FOR GROWTH AND WELLNESS LLC

Practice address

11106 Front St.
Ste 1
Mokena, IL 60448-1588

Phone

(815) 258-0950

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Wesley Dapkus

Title

Owner

Phone

(815) 258-0950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1871025320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 FRONT ST.",
            "address_2": "STE 1",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 FRONT ST.",
            "address_2": "STE 1",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481588",
            "telephone_number": "815-258-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK INSTITUTE FOR GROWTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "DAPKUS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-258-0950"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180010741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mokena, IL
• Providers in Mokena, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.