White Crane Wellness Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

CERT IL. DEPT AGING Issued in IL

Legal business name

WHITE CRANE WELLNESS CENTER

Practice address

1657 W Foster Ave
Chicago, IL 60640-2013

Phone

(773) 271-9001

Fax

(773) 271-9231

NPI assigned

Mar 6, 2013

Last updated

Mar 6, 2013By 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

Elizabeth Ann Cagan

Title

Executive Director

Phone

(773) 271-9001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1962743666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402013",
            "telephone_number": "773-271-9001",
            "fax_number": "773-271-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402013",
            "telephone_number": "773-271-9001",
            "fax_number": "773-271-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CRANE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "CAGAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-271-9001"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": "CERT IL. DEPT AGING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Whitaker, MD
• Molly Whitaker
• Nija S Whitaker
• Grace Whitby
• Emma Phyllis Whitcomb, M.D.
• Abigail White, MD, PHD
• Alexandra White, LCSW
• Alexandria White
• Amanda Lynn White, M.A., LPC
• Angeline Lee White

• Adult Day Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.