Wilson Wellness Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILSON WELLNESS GROUP INC

Doing business as

Bella Home Medical & Rehab

Practice address

1836 E Belvidere Rd
Grayslake, IL 60030-2289

Phone

(847) 548-1076

Fax

(847) 548-1071

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Larry Balkin

Title

Ceo

Phone

(262) 657-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bella Home Medical & Rehab Doing business as

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1942432315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302289",
            "telephone_number": "847-548-1076",
            "fax_number": "847-548-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302289",
            "telephone_number": "847-548-1076",
            "fax_number": "847-548-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "BALKIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-657-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5539340002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Home Medical & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Wessel
• Sharon Lynn Whited, L.C.S.W.
• Grace Tivnan Whiteford, MS, RD, CSSD, LDN
• Rebecca Jo Wiegman, MA
• Sophia M Williams
• Jasmine Wilson
• Elaine Ruth Winegard, D.M.D.
• Gage Winters, DPM
• Griff J Winters, DPM
• Rebecca A Woeckel, OT

• Durable Medical Equipment & Medical Supplies in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.