Organization Active NPI

Lilian Holm Wellness, LLC

  • Physical Therapist
  • Evanston, IL
National Provider Identifier
1902354954
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LILIAN HOLM WELLNESS, LLC
Practice address
1570 Oak Ave
Ste 101
Evanston, IL 60201-4238
Phone
(847) 208-8063
NPI assigned
Sep 20, 2016
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Lilian HolmNPI 1679542476
Title
Owner
Phone
(847) 208-8063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1570 Oak Ave
Ste 101
Evanston, IL 60201-4238

Mailing address

1570 Oak Ave
Ste 101
Evanston, IL 60201-4238

National Provider Directory

National Provider Directory

Locations

1570 Oak Ave
Ste 101
Evanston, IL 60201
Phone (773) 407-3663

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1902354954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 OAK AVE",
            "address_2": "STE 101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 OAK AVE",
            "address_2": "STE 101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014238",
            "telephone_number": "847-208-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIAN HOLM WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-208-8063"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.