Active NPI
True Blue Health & Wellness
- Genetics Clinic/Center
- Barrington, IL
National Provider Identifier
1922573567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetics Clinic/Center
- Legal business name
- TRUE BLUE HEALTH & WELLNESS
- Doing business as
- True Blue Genetics
- Practice address
- 509 W Old Northwest Hwy Ste 100C
Barrington, IL 60010-6816 - Phone
- (224) 655-2044
- NPI assigned
- Oct 10, 2018
- 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
- Brock Buchholz
- Title
- Ceo
- Phone
- (847) 951-6085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetics Clinic/Center | 261QG0250X | Primary |
Addresses
Primary practice location
509 W Old Northwest Hwy Ste 100C
Barrington, IL 60010-6816
Mailing address
509 W Old Northwest Hwy Ste 100C
Barrington, IL 60010-6816
Other names 1
- True Blue Genetics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539129600000",
"number": "1922573567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 W OLD NORTHWEST HWY STE 100C",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600106816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W OLD NORTHWEST HWY STE 100C",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600106816",
"telephone_number": "224-655-2044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE BLUE HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A",
"authorized_official_last_name": "BUCHHOLZ",
"authorized_official_first_name": "BROCK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-951-6085"
},
"taxonomies": [
{
"code": "261QG0250X",
"taxonomy_group": "",
"desc": "Clinic/Center, Genetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "True Blue Genetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.