Organization Active NPI

Zalwango Health& Wellness Concierge PC

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1962772996
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ZALWANGO HEALTH& WELLNESS CONCIERGE PC
Practice address
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone
(877) 506-9955
Fax
(855) 734-3355
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Dr. Madtura Zalwango, NP
Title
President and Secretary
Phone
(312) 217-4671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462

Mailing address

8610 Prairie St
Morton Grove, IL 60053-2282
Phone (872) 600-5700

Other practice location 1

6315 W Raven St
Chicago, IL 60646-3615
Phone (872) 600-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zalwangohealthwellness.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1962772996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 PRAIRIE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532282",
            "telephone_number": "872-600-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "877-506-9955",
            "fax_number": "855-734-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6315 W Raven St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606463615",
            "country_code": "US",
            "telephone_number": "872-600-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZALWANGO HEALTH& WELLNESS CONCIERGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "ZALWANGO",
        "authorized_official_first_name": "MADTURA",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "312-217-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zalwangohealthwellness.com",
            "affiliation": "N",
            "endpointDescription": "practice server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5250 Old Orchard Rd Ste 300",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600774462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.