Abc4Wellness, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070015149 Issued in IL

Legal business name

ABC4WELLNESS, LTD.

Practice address

811 Damico Dr
Chicago Heights, IL 60411-1934

Phone

(708) 560-1611

NPI assigned

Oct 16, 2014

Last updated

Oct 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda M. Kristina, PTNPI 1972521771

Title

PT / Owner

Phone

(708) 560-1611

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Linda M Kristina, MPT

  • Physical Therapist
  • Gurnee, IL
  • NPI 1972521771
  NPD (past) Authorized official

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1952705154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DAMICO DRIVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111934",
            "telephone_number": "708-560-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 DAMICO DR",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111934",
            "telephone_number": "708-560-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC4WELLNESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "KRISTINA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PT / OWNER",
        "authorized_official_telephone_number": "708-560-1611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070015149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.